Health Affairs April 1, 2025
Sidney Haitoff, Joseph Puthumana, Addison Dama, Yang Wang, Ge Bai

Editor’s Note

This article is the latest in the Health Affairs Forefront series, Provider Prices in the Commercial Sector, featuring analysis and discussion of physician, hospital, and other health care provider prices in the private-sector markets and their contribution to overall spending therein. Additional articles will be published throughout 2025. Readers are encouraged to review the Call for Submissions for this series. We are grateful to Arnold Ventures for their support of this work.

In 2024, 63% of workers with employer-sponsored insurance in the United States were enrolled in self-insured plans—rising to 83% for employers with 1,000+ workers. In these plans, employers pay for the health care expenses incurred by their workers through third party administrators (TPAs) in administrative services...

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