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State trends in employer premiums and deductibles: 2010-2020
State trends in employer premiums and deductibles: 2010-2020
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Data brief (Commonwealth Fund)
- Author(s):
- Collins, Sara R., author
Radley, David C., author
Baumgartner, Jesse C., author - Contributor(s):
- Commonwealth Fund, issuing body.
- Publication:
- [New York, New York] : The Commonwealth Fund, January 2022
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Deductibles and Coinsurance -- statistics & numerical data
Deductibles and Coinsurance -- trends
Health Benefit Plans, Employee -- statistics & numerical data
Health Benefit Plans, Employee -- trends
State Government
United States - Genre(s):
- Technical Report
- Abstract:
- More than a decade after passage of the Affordable Care Act (ACA), employer health insurance coverage remains the backbone of health insurance in the United States, covering more than half of Americans under age 65--about 163 million people. This coverage has proved to be resilient in the COVID-19 pandemic. Only about 6 percent of working-age adults reported losing their employer insurance during the pandemic-induced recession. Among those who did lose job-based coverage, fewer became uninsured compared to during prior recessions. This is because the ACA's marketplace subsidies and expansion in Medicaid eligibility provided a safety net for those without access to another employer plan or COBRA. The key issue for many workers and their families is the affordability of their premium contributions and the cost protections provided by their employer health plan, including the size of their deductibles. Focusing on middle-income people enrolled in employer plans, we examined the most recent data from the federal Medical Expenditure Panel Survey–Insurance Component to answer these questions: (1) How much are workers spending on premiums and what is the size of their deductibles? (2) How do these costs compare to the median income in each state? HIGHLIGHTS. (1) Premium contributions and deductibles in employer health plans accounted for 11.6 percent of median household income in 2020, up from 9.1 percent a decade earlier. (2) In 37 states, premium contributions and deductibles amounted to 10 percent or more of median income in 2020, up from 10 states in 2010. (3) Middle-income workers in Mississippi and New Mexico faced the highest potential costs relative to income, 19 percent and 18 percent, respectively. (4) The total cost of premiums plus potential spending on deductibles ranged from a low of $6,528.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (25 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918335064606676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918335064606676