More Employers Are Leaving Fully Insured Plans………………

“To gain control over the ever-increasing cost of employee health insurance, more and more employers are discontinuing their fully insured coverage and switching to self-funded models.”

Basically, this is an unbundled approach that separately hires all of the required functions — medical provider networks, carrier or third-party administrator (TPA), pharmacy benefit manager (PBM), stop-loss insurer, and consultants — subject to competitive bidding. Significant cost reductions in the neighborhood of 5% to 10% are typical.”

Self-Funding Can Give Employers More Control Over Every Aspect of Their Medical Insurance Programs (PDF)

Milliman

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