Self-Insured Firms Struggle to Drive Hard Bargains With Health Care Providers
-
Sep 08, 2023
Self-insured plans pay higher prices for many health care services compared with fully insured plans, according to an analysis of claims data published in this month’s issue of Health Affairs. Aditi P. Sen, Ph.D., the study’s lead author, says the findings “suggest that employers are generally not able to negotiate prices on behalf of their employees, and I don’t think that should be surprising. It really reflects the dynamics in health care markets.”
In self-insured plans, employers assume financial responsibility for their workers’ health care claims rather than having a health insurer take on that risk — theoretically giving such companies more incentive to drive costs down.
Read more
© 2024 MMIT
Related Posts
-
![]()
Aug 25
Large Employers Worry Over Worsening Worker Mental Health, Drug Costs
Read more -
![]()
Feb 17
Employers’ Desire to Shake Up Benefits Vendors Can Be Opportunity for Insurers
Read more -
![]()
Nov 04
Employer Plan Premiums Hold Steady in 2022, but Experts Predict Higher Costs, Narrower Networks in 2023
Read more
The Latest
Meet Our Reporters
Meet Our Reporters
GAIN THERAPEUTIC AREA-SPECIFIC INTEL TO DRIVE ACCESS FOR YOUR BRAND
Sign up for publications to get unmatched business intelligence delivered to your inbox.