Oliver Wyman March 19, 2025
Shyam Vichare, Travis Kistler, Howard Lapsley, Amit Sabharwal, and Hannah Hunter

ICHRA has emerged as a compelling alternative to traditional group plans. Understanding how to partner with brokers is critical to success in this new market.

Whether you are a true believer or not, there’s no denying that Individual Coverage Health Reimbursement Arrangements (ICHRA) are now ingrained in the healthcare lexicon. As companies grapple with rising healthcare costs, ICHRA has emerged as a compelling alternative to traditional group plans. Its adoption among employers with 50 or more employees spiked by 84% since 2023, and we project that the market could grow at a compound annual rate of 52%, reaching between 2 million and 5 million people.

Carriers with a strong presence in the Affordable Care Act (ACA) Marketplace are bullish on...

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