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- Health insurers expect medical services and prescription drug costs to climb 9% in 2027, the largest increase in 15 years, according to a PwC survey. - The average cost of family coverage in California will exceed $30,000 in 2027, roughly the price of a new compact car, eroding workers' wages and take-home pay. - Rising hospital consolidation, expensive cancer and obesity medications including GLP-1 drugs, and a new Medi-Cal tax are key drivers of premium escalation. - Small businesses face particularly acute pressure, with some cutting employee hours, shifting to lower-tier plans, or adding customer fees to absorb rising insurance costs.