AJMC August 21, 2025
Julia Bonavitacola, Maggie L. Shaw

Key Takeaways

  • Small- and midsize businesses are worried about affording group health plans, with 89% fearing unsustainability within three years.
  • A majority of employers prefer contributing to employees’ self-purchased health plans over sponsoring group plans.
  • Government intervention is desired, with 92% believing officials are not addressing health benefit challenges adequately.
  • The recent budget bill’s Medicaid cuts may increase reliance on employer-sponsored plans, emphasizing the need for alternative solutions like ICHRAs.

A new report found that 9 of 10 small- to midsize businesses are not sure they will be able to provide health benefits to their employees in the near future.

Offering health benefits could soon be a top priority to small- and midsize businesses throughout the country, as...

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