Long Covid cost outpaces Diabetes in 2022 employer health care costs

Salt Lake City — As Covid cases continue gripping the country, skyrocketing medical costs as a result of long Covid pose a significant financial risk not just for patients, but also for buyers of care in the public and private sectors. According to results of the new monthly “Nomi Trends in Spend Tracker,” announced today by nationwide direct healthcare company Nomi Health, long Covid cost employers an average $600 more per member than the average diabetes episode in the first half of 2022.

“While we’d all love to put this pandemic behind us, employers can see the potentially devastating effects of long Covid and its undeniable impact on healthcare costs and workforce stability,” Mark Newman, founder and CEO of Nomi Health, says. “Costs will continue to rise. Employers need to act now to support their employees with symptom awareness and care guidance while streamlining medical spending. It’s critical they plan ahead, and Nomi Health is filling the urgent need for more efficient healthcare delivery and cost management to combat these risks.”

Nomi Health reviewed more than 20 million medical claims between January and June 2022 to identify claims for patients with diabetes and those diagnosed with long Covid — any of more than two dozen symptoms that linger, recur or first appear at least one month after a Covid infection. When examining long Covid and its associated conditions — breathing abnormalities, malaise and fatigue, cough, throat and chest pain, and respiratory failure — researchers found per-member employer spend was on average $2,654.67, which is more than 26 percent higher than the average diabetic spend.

Beyond that, when comparing baseline Covid claims to long Covid claims for thousands of members, the “Nomi Trends in Spend Tracker” uncovered other sharp increases for employers and patients:

  • 203 percent increase in medical spending per-member per-month within the first six months following initial Covid diagnosis, resulting in a predicted $9,000 per case increase in medical spending compared to similar patients who had Covid but no subsequent symptoms of long Covid
  • 421 percent increase in inpatient hospital spend within the first six months following initial Covid diagnosis, resulting in a predicted increase of $6,000 compared to similar patients without long Covid
  • 126 percent increase in costly diagnostic laboratory and imaging procedures
  • 110 percent increase in outpatient visits for patients, resulting in rising actual and opportunity costs
  • Likelihood of missing work for medical reasons is 3.6 times higher, resulting in significant time and productivity loss for both patients and employers, exposing all parties to business and financial risk
  • Average predicted cost of long Covid to patients is nearly $9,500 within the first six months following Covid diagnosis,driven by doctor’s visits, hospital stays, and an increased likelihood of prescriptions for steroids, antibiotics, respiratory medications and more

This is the first study in the monthly “Nomi Trends in Spend Tracker” series, which will investigate costs associated with different health care topics. The retrospective cohort study was conducted by Artemis, a leading benefits analytics platform acquired by Nomi Health in January 2022.

Nomi Health, which makes it easier than ever to access the highest quality affordable care nationwide, has been a leader on the frontlines of the pandemic, delivering Covid testing and care to 15 million Americans in hundreds of communities across the US, many of which are underserved or rural. Nomi Health works directly with buyers of healthcare to lower expenses, designing a care delivery system that maximizes efficiency and lowers COVID testing costs by up to 60%. For more information, visit


This is a retrospective cohort study based on an anonymized, aggregated set of 20.3 million medical claims for over 4.68 million insured members in 2022. The data set identifies 252,561 members with diabetes care episodes and 6,988 members with post Covid syndrome. The average diabetic cost, both medical and pharmacy, per member was compared to the average medical cost of post Covid and closely associated conditions. Using the most up-to-date data through June 2022. Limitations include Covid incidents not reported through medical claims (at-home, rapid testing) and low incidence of long Covid diagnosis.