Employers to Pass Rising Healthcare Costs onto Employees in 2025

October 21, 2024

As the landscape of healthcare insurance shifts, U.S. employees with employer-sponsored insurance plans will likely face increased financial burdens in 2025. Consulting firms WTW and Mercer have both forecasted a 7.7% rise in healthcare costs for the upcoming year, a continuation of the climbing trend seen in previous years. Employers, who cover approximately 83% of these costs, are increasingly looking to shift some of this financial load onto their employees. Nearly 53% of employers surveyed plan to increase premiums, co-pays, and deductibles for their workforce, which translates to an estimated 5.8% rise in costs per employee.

The Importance of Open Enrollment

Open enrollment season is a critical period for employees to reassess and choose their healthcare coverage options based on their individual or family needs. Gary Kushner, chair and president of Kushner & Company, emphasizes the importance of evaluating one’s healthcare usage patterns. For those who typically only need annual check-ups and occasional minor treatments, a high-deductible plan with lower monthly premiums may be appealing. Such plans can be paired with Health Savings Accounts (HSAs), which allow for the management of out-of-pocket expenses in a tax-advantaged way. HSAs offer the added benefit of rolling over unused funds each year, making them a cost-effective option for many employees.

Employees must be methodical during open enrollment to ensure they are not caught off guard by increased out-of-pocket expenses later on. By carefully examining their healthcare needs and the available plans, employees can not only manage but potentially mitigate the impact of rising healthcare costs. This period is also an opportunity for employees to explore if switching to a different provider or plan might offer better coverage or lower costs overall. It cannot be overstressed how crucial this time frame is for optimizing healthcare benefits and financial planning.

Voluntary Benefits as a Buffer

In addition to their core insurance plans, employees would do well to consider the voluntary benefits offered by many employers. These benefits often include perks like gym memberships, childcare assistance, stress management programs, and financial coaching. Such offerings can significantly alleviate financial and mental stress, thereby contributing to better overall health and work-life balance. By taking advantage of these additional resources, employees may offset some of the increased costs they face in their primary healthcare plans.

Voluntary benefits are not just fringe perks; they can play an essential role in enhancing employee well-being and satisfaction. With rising healthcare expenses, these programs can relieve some of the financial burden and even improve health outcomes by encouraging proactive health management. Companies offering comprehensive voluntary benefit packages are likely to see higher employee morale and productivity, indicating a win-win for both parties. Proactively engaging with these benefits can lead to long-term savings and improved quality of life, adding another layer of financial and personal well-being security.

Strategic Employee Planning

As the dynamics of healthcare insurance evolve, U.S. employees enrolled in employer-sponsored insurance plans will likely shoulder higher financial burdens by 2025. Predictions from consulting firms WTW and Mercer indicate a 7.7% rise in healthcare costs in the coming year, continuing the upward trend observed in recent years. Employers currently cover around 83% of these expenses, but there is a growing tendency to transfer some of this financial responsibility to employees. Approximately 53% of employers surveyed intend to hike premiums, co-pays, and deductibles for their staff, which is expected to lead to a 5.8% increase in out-of-pocket costs per employee. This shift comes at a time when employees are already grappling with rising living costs, making healthcare an increasingly significant financial strain. Additionally, companies are balancing the need to manage their own rising expenses while trying to maintain competitive benefits packages to attract and retain talent. This evolving scenario underscores the growing complexity of managing and affording healthcare in the U.S.

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