📺 Stream EntrepreneurTV for Free 📺

The Latest Surprise About the Obamacare Health Exchanges A new study finds a money-saving reason businesses should keep their eye on the new government exchanges.

By Linda Lacina

entrepreneur daily

According to a new report released today, average premiums offered on the new individual government healthcare exchanges are comparable to and sometimes less than their employer-sponsored counterparts.

The data might intrigue business owners grappling with rising health-care costs and changes related to 2010's Affordable Care Act. In 2017, states will have the option to open exchanges to companies with more than 100 employees. If patterns continue, exchanges could be a viable alternative for employers in coming years.

The study, conducted by PwC's Health Research Institute, reviewed insurance policies from 15 state exchanges and the District of Columbia, as well as exchanges run by the government in any remaining states. Data from median and low-cost premiums were then compared to survey data of employer-sponsored premiums from 156 million people in 2013.

Government exchange plans offer four plan levels: bronze, silver, gold and platinum, paying 60 percent, 70 percent, 80 percent and 90 percent of an individual's healthcare costs, respectively. Employer-sponsored plans typically pay around 85 percent of a person's healthcare costs, making the average employer-sponsored plan the counterpart of gold or platinum exchange plans.

According to the study, "across the board, at every level, average exchange premiums are lower than this year's average premiums for employer-based coverage." Researchers found that the average median premium gold plan was 8 percent lower than the national average employer premium. The average of the lowest premium for gold plans was 27 percent lower.

Not factored into this analysis were subsidies that employers offer to offset costs or federal tax credits for which a majority – 85 percent -- of enrollees to Obamacare are eligible.

Of course, there are some important differences to note. Exchange plans often have limited choices for doctors and hospitals and much narrower provider networks. Also, the data from this study examines rates from the government exchanges' first year and it's not known if these patterns will continue.

Additionally, to be a true alternative, the government's business exchanges would need to be robust. Currently, Obamacare's business exchanges offer few plan options, though that's expected to change in 2015.

Still, if patterns continue, exchanges might give businesses a viable alternative that helps control costs. As the study notes, exchanges, "may provide an opportunity for employers to reexamine new approaches to providing health insurance coverage for their workers."

Linda Lacina

Entrepreneur Staff

Linda Lacina is the former managing editor at Entrepreneur.com. Her work has appeared in the Wall Street Journal, Smart Money, Dow Jones MarketWatch and Family Circle. Email her at llacina@entrepreneur.com. Follow her at @lindalacina on Twitter. 

Want to be an Entrepreneur Leadership Network contributor? Apply now to join.

Starting a Business

I Wish I Knew These Four Things Before Starting My Own Business

Starting a business is hard work to say the least. These are four lessons I wish someone had shared with me before going solo, so I'm here to share them with you.

Devices

Optimize Your Remote Workflow with Maximum Connectivity for Just $55

Stay connected as you work from home or anywhere in the world with this versatile stand with eight ports and 5Gbps data transfer speeds.

Business Ideas

63 Small Business Ideas to Start in 2024

We put together a list of the best, most profitable small business ideas for entrepreneurs to pursue in 2024.

Starting a Business

How to Find the Right Programmers: A Brief Guideline for Startup Founders

For startup founders under a plethora of challenges like timing, investors and changing market demand, it is extremely hard to hire programmers who can deliver.

Side Hustle

These Coworkers-Turned-Friends Started a Side Hustle on Amazon — Now It's a 'Full Hustle' Earning Over $20 Million a Year: 'Jump in With Both Feet'

Achal Patel and Russell Gong met at a large consulting firm and "bonded over a shared vision to create a mission-led company."