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Looking Towards 2026 – Health Plan Trends Employers Should Be Aware Of

As we approach the end of the year, we’re reflecting on the 2025-2026 benefits renewal cycle, which Mike Hill calls “the most contentious I’ve seen in my 25+ year career.”

As employers are hit with dramatic plan increases, many are considering cost-saving alternatives like never before – a trend we anticipate will continue into the new year and beyond. 

In part one of our video series on 2026 health plan trends, Mike outlines some of these solutions gaining momentum by Michigan employers. 

In part two of our series, Mike highlights how new RX management strategies (including direct-to-consumer and direct-to-employer purchasing options) will affect both employers and consumers in 2026. 

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Self-Funded Health Plans for Michigan Employers: 2026 Decision Guide | TCHP

Self-Funded Health Plans for Michigan Employers: 2026 Decision Guide | TCHP

Michigan employers with 50 or more employees and stable workforces can save 15 to 20% on healthcare costs by moving to a self-funded or level-funded health plan. The decision depends on cash flow, workforce stability, and risk tolerance, not size alone. This guide walks Michigan CFOs and business owners through the evaluation framework, regulatory considerations, and implementation timeline for 2026.

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