NIHCM – Small Business Health Insurance Coverage

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In a Post-ACA World

In this Expert Voices essay, Sabrina Corlette examines developments in the small group market since the passage of the ACA and considers the future outlook.




NIHCM – Small Business Health Insurance Coverage in a Post-ACA World


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2 Responses

  1. Healthcare Spending Growth Rate Rises Again in 2015

    Government agencies, companies, and consumers spent a lot more on healthcare in 2015 than the prior year. It’s another result of the U.S. reducing its uninsured rate to historic lows through healthcare reform, which has spurred demand for more hospital services, clinic visits, and prescription drugs.

    The U.S. healthcare system spent $3.2 trillion in 2015, or almost $10,000 for every person, according to the latest federal projections. It’s a 5.5% increase from 2014—still a lot lower than the annual growth rates from decades ago, but a tick higher than the 5.3% increase recorded in 2014 and above the rates seen in the immediate aftermath of the Affordable Care Act and the Great Recession. Government economists also reaffirmed their prediction that national health spending will grow by 5.8% each year on average over the next decade.

    Source: Bob Herman, Modern Healthcare [7/13/16]


  2. Employees Contributed $1,255 Toward Premiums in 2015

    The Commonwealth Fund recently published a study on employee insurance premium contributions before and after the ACA. Here are some key findings from the report:

    • People with employer insurance contributed $1,255 toward premiums in 2015.
    • Annual family premiums for employer insurance averaged $17,322 in 2015.
    • Premium growth rates were 3.8% from 2010-2015, vs 4.7% from 2006-2010.
    • Workers pay more for family coverage, shouldering 27% of the cost or $4,710.
    • Employees contribute 30%+ of the total premium for employer plans in 16 states.
    • Employee premium contributions accounted for 5.8% of median income in 2015.

    Source: Commonwealth Fund, October 26, 2016


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