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Trends in employer health care coverage, 2008–2018: higher costs for workers and their families
Trends in employer health care coverage, 2008–2018: higher costs for workers and their families
ISSUE. With 2020 elections coming up, some Democratic presidential candidates and members of Congress have suggested ways to reduce costs of insurance and care, including proposals for employer plans, which cover roughly half the population of the United States. GOAL. Examine trends in employer coverage over the past decade to determine how much workers are spending on premiums and deductibles and compare costs to median household income in each state. METHODS. Data from the Medical Expenditure Panel Survey--Insurance Component (MEPS--IC), which surveyed more than 40,000 private-sector employers in 2018 on their health insurance plans. KEY FINDINGS AND CONCLUSIONS. Average annual growth in the combined cost of employees' contributions to premiums and deductibles outpaced growth in U.S. median income between 2008 and 2018 in every state. Middle-income workers spent an average 6.8 percent of income on employer premium contributions in 2018; per-person deductibles across single and family plans amounted to 4.7 percent of median income. Recent proposals would enhance the affordability and cost protection of Affordable Care Act marketplace plans, allow people with employer plans to buy coverage on the marketplaces, or replace private insurance with a public plan like Medicare.
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