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Cost-share chart The potential savings would be spread among employers ($194 billion) and employees ($116 billion), and the non-group market ($42 billion). (Image: Shutterstock)

With a self-funded plan, a company operates their own health plan with the help of a broker and a third party administrator (TPA). Companies take on more risk in the process but can manage this risk by buying stop-loss or excess-loss insurance. Once a company reaches an employee size of over 100, they should start considering going to a self-insured plan to save money and improve cash flow.

Total health care spending for people with private health insurance would be an estimated $352 billion lower in 2021 if private insurers used Medicare rates to pay hospitals and other health care providers — rather than the substantially higher rates they currently pay. That’s according to a new analysis by the Kaiser Family Foundation (KFF), a nonprofit organization focused on national health issues.

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