Cost Shifting Is Silly

Status quo strategies used to reduce health care spend by employers includes cost shifting to plan members. Higher deductibles and higher out-of-pocket costs reduces insurance premium costs but not health care costs.

Back in the day a health insurance deductible equaled one week’s worth of pay. A $100 deductible was standard back in 1975.

Now it’s not uncommon to see annual deductibles of $4000 and more, much more.

It’s evident cost shifting has not tamed the healthcare beast.

And it’s clearly evident size doesn’t matter. A +400,000 life self-funded health plan in Texas has been practicing cost shifting for years. 64% of plan members are on a $2,750 front end deductible with no first dollar coverage (except for preventive care) before benefits are paid.

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