In a snap shot of the upside-down dilemma that drives the cost overruns of American healthcare, a new study reveals that an estimated 15% of the U.S. employee population generate 80% of employer healthcare costs.

According to a white paper sponsored by private healthcare technology firm Big Bang Health, 5% of the employer-insured population generates 50% of healthcare costs, while 15% generates 80% of healthcare costs. These costs are due to ineffective, inefficient, uncoordinated care, and lack of care advocacy, according to the white paper’s authors.

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