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- Title
Financial Protection Afforded by Employer-Sponsored Health Insurance.
- Authors
McDevitt, Roland; Gabel, Jon; Gandolfo, Laura; Lore, Ryan; Pickreign, Jeremy
- Abstract
This article provides the first national estimates of actuarial values and out-of-pocket spending from the era of nonrestrictive managed care that began in the late 1990s. Employer plans paid about 84 percent of total medical expense for those with employer-sponsored coverage in 2004, about 1 percent less than in 2000, and high users faced potential out of pocket spending in the thousands of dollars when they received a portion of their care out of network. Since 2004, more employers have offered plans with higher deductibles coupled with employer-funded personal accounts. These arrangements can result in low out of pocket costs for many employees, but high users will face substantially higher costs. Many employers adopting high-deductible plans are not contributing to personal accounts. Those who are concerned about higher out-of-pockets might consider income-related cost sharing, educational efforts to communicate the savings that can result from using in-network providers, and continued availability of managed care options that limit out-of-pocket spending.
- Subjects
MEDICAL care costs; EMPLOYERS; INCOME; COST shifting; SAVINGS
- Publication
Medical Care Research & Review, 2007, Vol 64, Issue 2, p212
- ISSN
1077-5587
- Publication type
Article
- DOI
10.1177/1077558706298292