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Employer Self-Funded Health Insurance Is Taking Us in the Wrong Direction Alain C. Enthoven, in Health Affairs Forefront ![]() [Opinion] Aug. 13, 2021 "Self-funded arrangements have grown steadily as a share of the insurance market over the past 15 years and now include many employers with less than 200 employees. While this may be the most cost-effective decision for individual employers under the current regulatory framework, it has the effect of locking in uncoordinated, open-ended fee-for-service (FFS) and locking out comparatively economical Integrated Delivery Systems (IDS)." |
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