2026 Benefits Renewal Shock: Navigating Record Health Cost Increases in Tribal Organizations

Health plan renewals for 2026 are shaping up to be the toughest in a decade. Tribal governments, casinos, IHS/638 clinics, and tribal enterprises face premium increases driven by specialty drugs (including GLP-1s), out-of-network claims, high-cost inpatient episodes, and workforce health needs that span multiple sites and shifts. The question for executives isn’t whether costs are […]