The 2025 Milliman Medical Index (MMI) serves as a comprehensive report detailing the projected healthcare costs for a hypothetical American family of four under an employer-sponsored health plan. In 2025, the estimated cost is $35,119, reflecting a significant increase from $33,067 in 2024. This document marks the twentieth anniversary of the MMI, which has consistently tracked healthcare costs for the same family composition since its inception in 2005. The report outlines the various categories of healthcare costs, including inpatient and outpatient facility care, professional services, and pharmacy expenses. Notably, outpatient facility care and pharmacy costs have been identified as the primary drivers of the overall increase in healthcare expenses. The report also discusses the evolving landscape of healthcare costs, including the impact of pharmacy rebates and the shift in cost-sharing responsibilities between employers and employees over the past two decades. The MMI provides valuable insights into healthcare trends and cost dynamics in the U.S.