KFF Health News January 27, 2020
Conventional wisdom holds that big, self-insured companies do a better job controlling health care costs than firms that rely entirely on insurance companies to provide their workers’ coverage. But that’s not true.
Why it matters: Although a handful of big self-insured companies get a lot of attention for their cost-control efforts, the data tell a different story: Self-insured and fully insured companies are equally bad at controlling health care costs.
By the numbers: The average family premium for fully insured firms last year was a whopping $20,627.
- For larger self-insured firms, it was $20,739.
- There hasn’t been a meaningful difference for the past 20 years.
Self-insured firms would seem to have an advantage because...
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