Fresh health insights
Why employer health insurance costs are rising
Employer-sponsored health insurance has long been a cornerstone of U.S. healthcare. But for many employers, costs are climbing faster than ever. In recent years, premiums have surged, deductibles have grown, and benefit teams are left grappling with how to sustain competitive coverage without sinking their budgets. This article explores what’s behind the spike in employer healthcare spending, how musculoskeletal (MSK) conditions contribute disproportionately to the problem, and what practical steps benefits leaders can take to cut healthcare costs without sacrificing quality of care. Employer healthcare spending is reaching historic highs. The average employer-sponsored family health insurance premium surpassed $24,000 in 2024, with employers covering roughly $17,000 of that cost and employees responsible for the rest¹.
October 3, 2025 • 10 min read
Group health insurance costs: what employers should expect in 2026
Group health insurance is one of the largest expenses for U.S. employers, and it is only getting more expensive. In 2026, premiums and overall plan costs are projected to climb again1. This puts leaders in a difficult position. How can you manage spend without cutting the very benefits that employees rely on? The reality is that healthcare costs will continue to rise, but the way you respond can make the difference between unsustainable budgets and a benefits strategy that works for both your company and your people. The average annual premium for employer-sponsored health insurance is expected to surpass $9,500 for individual coverage and $23,000 for family coverage in 2025, with the rising trend expected to continue into 2026.¹ Employers typically cover 70 to 80 percent of these costs, while employees pay the rest through payroll deductions.
October 3, 2025 • 8 min read
The value-based care model explained
There is no single way to deliver value-based care. Instead, there are multiple models that healthcare systems, payers, and employers use to align incentives with patient outcomes. Each model shares the same principle: pay for results, not activity. They differ in how risk is shared, how performance is measured, and how payments flow. For employers and health plans trying to navigate the landscape, it helps to understand how these models work, where they succeed, and where they fall short. That context makes it clear why musculoskeletal (MSK) care, a leading driver of health spend, requires a tailored solution. Several frameworks have shaped how value-based care is implemented in U.S. healthcare:
September 26, 2025 • 7 min read
Female pelvic health guide
Women’s health and wellness conversations often focus on fitness, nutrition, or maternity care. Yet one crucial part of the body that impacts daily comfort, mental health, and work performance is too often overlooked: pelvic floor health. The pelvic floor is a group of muscles and tissues that support the bladder, uterus, and bowel. When these muscles weaken or stop functioning properly, women can experience a wide range of problems: urinary leaks, pelvic pain, bowel issues, sexual discomfort, or a constant sense of pressure. For years, many women have silently endured these issues, assuming they were “normal” after childbirth or aging. But pelvic dysfunction is not something to suffer through. With the right pelvic floor health program, women can reclaim comfort, confidence, and control.
September 26, 2025 • 10 min read
The risks of physical inactivity
We live in a world designed for sitting. From long hours at a desk to evenings spent scrolling, most adults spend the majority of their day inactive. At first, this might feel like a normal part of modern life. But the risks of physical inactivity go far beyond occasional stiffness. Inactivity is now recognized as one of the biggest contributors to preventable chronic disease, rising healthcare costs, and avoidable pain. Globally, nearly 1.8 billion adults are insufficiently active, placing them at higher risk for cardiovascular disease, type 2 diabetes, and mental ill-health¹. The good news is that the opposite is also true. Even small amounts of regular movement can unlock the powerful benefits of physical activity, improving health, boosting mood, and strengthening resilience. And with programs like Sword Move, making activity a sustainable habit has never been easier.
September 26, 2025 • 7 min read
What is value-based care?
Healthcare spending in the United States continues to rise, yet outcomes for many conditions, including musculoskeletal (MSK) pain, are not improving at the same pace. MSK disorders are now the top driver of healthcare costs in the U.S., accounting for more than $500 billion annually when medical spend and lost productivity are combined.¹ Employers face both direct costs and indirect costs from absenteeism and presenteeism, making MSK a growing priority for benefits teams. Despite this investment, members are too often steered toward low-value care such as unnecessary imaging and avoidable surgeries. Musculoskeletal (MSK) health is one of the biggest drivers of employee wellbeing and organizational performance, yet an estimated $90.9 billion is wasted each year on MSK interventions that provide little value.² The disconnect is structural, rooted in how healthcare is paid for by employers, health insurers, and patients themselves.
September 26, 2025 • 8 min read
The pelvic floor health program to free you from pain and discomfort
Women’s health and wellness conversations often focus on fitness, nutrition, or maternity care. Yet one crucial part of the body that impacts daily comfort, mental health, and work performance is too often overlooked: pelvic floor health. The pelvic floor is a group of muscles and tissues that support the bladder, uterus, and bowel. When these muscles weaken or stop functioning properly, women can experience a wide range of problems: urinary leaks, pelvic pain, bowel issues, sexual discomfort, or a constant sense of pressure. For years, many women have silently endured these issues, assuming they were “normal” after childbirth or aging. But pelvic dysfunction is not something to suffer through. With the right pelvic floor health program, women can reclaim comfort, confidence, and control.
September 26, 2025 • 8 min read
All about workplace health
How Digital Physical Therapy Improves Employee Retention
Did you know that fear of pain can be more disabling than pain itself? Chronic pain and employee turnover prevention are critically linked, but with the right MSK benefits coverage, employers can help their team members recover from pain to increase workplace productivity. Nearly 28% of people in the workplace will take leave for MSK pain over the course of a year. Patients who suffer the two most common conditions of low back and neck pain have an average return to work of 7 days. Overall, MSK conditions are responsible for 44 missed work days each year on average.
September 27, 2022 • 6 min read
How to evaluate and select the best digital MSK vendors
Musculoskeletal (MSK) disorders are one of the most expensive and under-addressed cost centers facing U.S. healthcare providers. MSK disorders affect 1 in 2 Americans and cost over $190 billion per year, more than heart disease, cancer, or mental health conditions. For employers and health plans, MSK claims are often among the top 3 cost drivers. And for members, chronic pain reduces quality of life, drives absenteeism, and often leads to costly downstream interventions. That’s why digital MSK solutions have surged in popularity. The promise is compelling: better access, which drives stronger engagement, delivers better outcomes, and therefore lowers overall healthcare costs.
August 13, 2020 • 6 min read
Reduce MSK costs with more effective digital MSK care plans
You’ve likely seen numerous digital health solutions that promise to lower medical spend. You’ve probably zeroed in on the top conditions with significant digital solutions in the marketplace: musculoskeletal (MSK), mental health, and diabetes. For most companies, prioritizing MSK care over other digital health solutions will drive the biggest benefits for your employees and your bottom line when it comes to savings. Given the multitude of vendors, platforms, and solutions available, prioritization can be a daunting task. How do you choose from among the thousands of digital health tools? What combination of condition focus and solution selection will drive the best outcomes for your population and the biggest return for your business?
September 19, 2022 • 5 min read
Tackling the #1 driver of employers’ health costs: MSK
The phrase ‘musculoskeletal disorder’ may not ring a bell — but the feeling might. The term refers to any type of pain in the muscles or joints, from chronic pain to injuries to post-surgical pain. Many of us have suffered from a musculoskeletal (MSK) issue at some point in our lives. In fact, one in two Americans is struggling with an MSK condition right now. And it’s causing economic ripples, especially in the workplace.
January 20, 2020 • 6 min read
More from Sword: Ask a physical therapist
Ask a PT: when is the best time to do my exercises?
Before I joined Sword Health, I worked in brick-and-mortar clinics. I never worked weekends, and rarely worked past 6 pm. My schedule was great...for me. But for my patients, it was a real challenge. Attending a physical therapy appointment might require leaving work early or slipping out at lunch. Even patients with more flexible schedules would sometimes lament about finding childcare or arranging transportation. A thirty-minute appointment could easily take an hour or even 90 minutes once travel was taken into account. When I was in a clinic, the “best” time for a patient to do their exercises was the time that worked for me, not for them. Sword's virtual model gives our members the power to do their exercises when AND where it's most convenient for them. Now that I work remotely for Sword, I’m able to help our members figure out the best time to do their exercises at home. Now, when my members ask me when they should do their exercises, I tell them - the best time is when you’ll actually do them!
February 11, 2021 • 6 min read
Ask a PT: Does walking really help with pain?
If you’ve ever stood on the sidelines of a sporting event, you’ve likely witnessed many falls, trips and tackles. Whether the players are small children or professional athletes, the advice from the coach may have simply been to “walk it off.” While that is not always the best solution after an acute injury, walking can be a really effective way to manage chronic pain. Motion is lotion. Movement increases blood flow, which brings nutrients to our tissues. It also helps those that don’t have blood flow, like cartilage. Cartilage lines our joints, absorbing impact. It’s surrounded by a liquid which provides it with nutrients, flowing in and out of it like a sponge. Exercise, like walking, causes loading that fills and squeezes that sponge, particularly in the joints of our legs and spine.
August 13, 2020 • 4 min read
Ask a PT: What Is Causing My Shoulder Pain?
When your shoulder hurts, it can be difficult to tell exactly what’s gone wrong. You’ve probably heard of pinched nerves and rotator cuff tears. Perhaps you’ve also heard about shoulders being ‘impinged’ or ‘frozen.’ It’s not easy to keep these various shoulder conditions straight, especially when they all cause similar pain symptoms. The first step towards fixing a problem is identifying it. This article, written by a team of Doctors of Physical Therapy, is designed to help you figure out what’s causing your shoulder pain — so you can begin the process of healing it. We will dive into the five most common causes of shoulder pain and how to differentiate them. Cervical refers to the neck, and radiculopathy is pain that radiates to another body part. Hence, cervical radiculopathy: a pinched nerve in the neck, which can cause radiating pain affecting the shoulder. It occurs when the cervical spine becomes damaged due to sudden injury or degeneration over time, and squeezes or puts pressure on a nearby nerve.
February 20, 2024 • 6 min read
Meet our editors
Megan Hill, PT, DPT
Director, Clinical Specialists, Doctor of Physical Therapy
Dr. Fernando Correia, M.D.
Founding Team & SVP Clinical & Regulatory Affairs
Dr. Vijay Yanamadala, MD, MBA, FAANS
Chief Medical Officer at Sword Health