MedCity News October 30, 2018
If companies can provide their own care, manage their own provider networks and underwrite their own health insurance, what’s to stop them from administering their own plans, cutting traditional payers out altogether?
A careful reading of industry data and recent headlines tells us the possibility isn’t that remote. Self-funded plans have been on the rise for nearly 20 years: the percentage of employers offering such plans, for instance, rose from 26.5 percent in 1999 to 40.7 percent in 2016. In recent years, the biggest increases haven’t even come from the large employers who long preferred to do their own underwriting, but from businesses with fewer than 1,000 employees.
Historically, payers have continued to generate revenue from self-insured companies by providing...
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