The Cigna Healthcare 2026 International Health Study explores the unique well-being and productivity of individuals working outside their home countries. This report introduces the Evernorth Vitality Index, a metric used to compare the physical, emotional, and social health of the globally mobile workforce against the general population. Findings indicate that while these employees possess a distinct vitality advantage, they simultaneously face acute stressors such as loneliness, financial strain, and healthcare barriers. To maintain this performance edge, the research suggests that organizations must prioritize pre-move support and simplified access to medical care. By fostering a sense of belonging and resilience, employers can fully unlock the professional potential of their international talent. Strategic recommendations focus on utilizing digital health solutions and community-building initiatives to bridge existing support gaps.

By Karim Idilby, Chief Growth Officer, AXA Global Healthcare 

Throughout 2025, approximately 142,000 millionaires chose to relocate to another country, with projections suggesting this could rise to 165,000 in 2026, marking the largest voluntary transfer of private wealth in modern history. In particular, the UK saw its largest-ever exodus last year losing 16,500 millionaires, representing the steepest net loss of any country worldwide. 

The UK provides a clear example of how domestic policy shifts and foreign incentives can reshape the mobility patterns of high-net-worth individuals (HNWIs). Between 2024 and 2025, the UK government abolished the non-domicile tax regime (April 2025), increased capital gains and inheritance tax rates (October 2024), and closed the Tier 1 Investor Visa route. For globally mobile individuals seeking to preserve wealth and optimise investment returns, these policy shifts have fundamentally altered the UK's attractiveness. 

In this iPMI Global article we outline a dramatic transformation in the international medical insurance industry as it adapts to heightened geopolitical instability in the Middle East. By 2026, providers have shifted from passive coverage to dynamic intervention, incorporating autonomous clinical authorizations and localized "Red-Pricing" models to manage war-related risks. Duty of Care obligations for corporations have expanded significantly, now requiring comprehensive safety nets that include psychological trauma support, secure evacuations, and "shelter-in-place" protocols.