Health insurance cost holds steady
A prominent national survey found premiums for family coverage in employer health plans held steady this year - a first for an annual report that for decades historically showed family coverage in the
While somewhat encouraging in terms of affordability, the findings in the latest
The average total premium this year is
"This could be the calm before the storm, as recent inflation suggests that larger increases are imminent,"
The COVID-19 public health crisis lowered health care use and dampened health care spending, which explains in part this year's relatively flat premiums, said
"There were years and years when we talked about double-digit premium increases," Rae said, "and that's not really been the story of the last five years."
Since 2012, average premiums for family coverage rose 43%, which is greater than inflation (25%) and wages (38%) during the same period.
At the same time, employers are seeing more workers struggle with mental health and substance use.
Nearly half of large employers - defined as those with 200 or more workers - reported an increase in the share of workers using mental health services, while 14% said more workers used substance-use services. Of note, about 29% of these large firms said more workers this year sought family leaves related to mental health issues.
While about one-quarter of large employers added mental health providers to their health plan networks this year, about 30% said they don't believe they have enough behavioral health providers to ensure their workers have timely access to care.
"The findings here I think are quite staggering," Rae said. "I was shocked by the magnitude of some of the things we found."
Employer health plans are the largest single source of coverage in the
On average, workers are contributing
Premiums for individual coverage average
Among workers who face an annual deductible for single coverage, the average amount this year stands at
For family coverage, workers at small firms pay a larger share of the total premium.
"I think what happens is, a lot of small employers make a set contribution to the premium and don't bear any additional costs when someone enrolls dependents," Rae said. "Small firms have less leverage in the market and oftentimes have affordability challenges in offering premiums that are affordable for their workforces. So, we tend to see higher cost-sharing for small firms.
"We're going to have to think about policy solutions or market solutions for this."
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Health insurance cost holds steady
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