ICHRAs (Individual coverage Health Reimbursement Arrangements) are new as of Jan 2020 and are a step towards defined contribution healthcare.

https://www.healthcare.gov/ichra/

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I believe most employers want to be out of the "health risk" business. They don't mind giving employees money to buy insurance but do mind having to deal with renewals and trying to manage health care costs. An ICHRA would be attractive to an employer because they can get out of the risk business while still giving employees money to buy insurance and more options. Multi-state employers would be able to let employees buy local plans in every market through an ICHRA.

Employees will get many more options in the individual market. We are the only country in the world where someone buys the health insurance for someone else. This is inflationary. Employees, when given choice, will tend to buy insurance with more narrow networks and slightly higher deductibles than employers buy in today's market. In Massachusetts, individual health insurance buyers are buying solutions that average from 14% to 33% less than the average large employer. That is real money. In some cases over $5000 per year in savings for an individual. If the employer stops "blocking access" to lower cost plans employees can save significant dollars. So my message is, employers need to "get out of the way" and let consumer demand drive the market.
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