The ACA requires insurers to charge the same rates regardless of employee health, so healthy workers now subsidize sicker ones. This pooling effect drives up employer costs faster than before, making split-funded plans an appealing alternative.
Chapters
Despite the best intentions of the Affordable Care Act, the cost of health care coverage for all employers will continue to increase and will likely increase at a faster rate than before the federal law. Why? Because under the new law, the insurance companies can no longer segregate relatively healthy people from relatively unhealthy people, which means that they can no longer charge different rates for people who consistently submit more claims than the average person. Because the insurance companies are now required to provide coverage to everyone at the same rate for the same benefits regardless of their current health condition, including people who don't take good care of themselves and are statistically more likely to submit more claims and more expensive claims, as well as people who are chronically ill and who already utilize more healthcare services. So if your employees are relatively healthy The cost to insure them will now be combined with the cost to insure—