Health Affairs November 16, 2023
After several years of below-average increases, premiums in employer-sponsored health insurance are poised for rate hikes this year. With this open enrollment season, workers will soon know what premium increases mean for their take-home pay and out-of-pocket costs, as at least some employers pass increased costs on to their employees.
There are more than 15 million state and local government employees—those who work for state executive, judicial, or legislative branch agencies, school districts, public universities and hospitals, or local municipalities—and they too will feel the pinch of increased health care costs. Yet, in many ways, the agencies that purchase health insurance for these public employees are uniquely situated to tackle rising health care costs. They are often the largest commercial...