![]() ![]() Total health spending by and on behalf of a family of four with employer coverage tops $22,000, on averageĭeductibles accounted for 26% of cost sharing payments in 2007, rising to more than half in 2017. This represents an 18% increase in the health costs borne by employees and their families from five years earlier ($6,571 in 2013), outpacing the 8% increase in inflation and a 12% increase in workers’ wages over the same period. Looking only at the health spending for which workers are responsible (their families’ premium contributions and cost-sharing payments), the average family spent $4,706 on premiums and $3,020 on cost-sharing, for a combined cost of $7,726 in 2018. This provides a fuller picture of the impact of healthcare on a household’s budget.įor most of those with employer coverage, the cost of the premium is split between the employer and employee. To look at both premiums and cost-sharing payments together, we added the average family premium for a family of four for those with employer coverage to the average cost-sharing for a worker, spouse and two children. Cost-sharing, or out-of-pocket spending, takes the form of deductibles, copayments and coinsurance, and can vary widely based on an enrollee’s plan and utilization. Total family health spendingįamily health spending includes both premiums and the cost-sharing charged when an enrollee uses services. We analyzed a sample of health benefit claims from the IBM MarketScan Commercial Claims and Encounters as well as the Kaiser Family Foundation’s Employer Health Benefits Survey. This brief examines trends in employee spending on premiums, deductibles, copayments, and coinsurance over time. This increase has been driven in part by rising deductibles, which are an increasingly prominent feature of many employer plans. On average, health spending by families with large employer health plans has increased two times faster than workers’ wages over the last decade. As health costs rise, enrollees in large employer plans face higher health spending both through rising premium contributions and increased cost-sharing when they use services.
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