There was some controversy last week when I published data that indicated large health plans can pay 10 to 15 times as much to cover a participant in a health plan compared to their small policy counterparts.

While I can certainly make mistakes (ever forget to carry the one?), I'd like to go into the methodology that lead to that conclusion and hopefully give readers the chance to poke holes where they exist. Some of the comments I received included: outright incredulity, "these are probably self-funded plans," and "these are probably monthly costs." I'd like to address each concern in turn.

Cost vs. premiums

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