The Bergen Record

Reducing employer health plan costs aids retirement

- Your Turn Christin Deacon Guest columnist Christin Deacon is the former New Jersey director of health benefits operations and policy and planning.

The United States is hitting “peak

65” this year, with 4.1 million baby boomers reaching this retirement age. Unfortunat­ely, much of this silver tsunami does not have adequate retirement savings. Median retirement savings among baby boomers is only about

$200,000 and for Generation X around

$100,000. America is facing a retirement savings crisis.

Employers can help younger generation­s adequately save for retirement by offering retirement plans that match employees’ contributi­ons up to a certain amount. Unfortunat­ely, employersp­onsored retirement benefits have been squeezed in recent years by runaway health plan costs. Employers have a responsibi­lity to take control of their high-cost health plans by analyzing their claims data. They can use the ensuing savings in a variety of productive ways, including boosting retirement benefits, reducing health plan premiums, increasing wages or bonuses and reinvestin­g back into the business.

According to the Kaiser Family Foundation, the average annual employersp­onsored family health care premium reached $24,000 in 2023, a 50% increase over the last decade. These escalating costs cannibaliz­e the funds employers could otherwise have put toward retirement benefits or wage increases. A new JAMA study finds health care premiums as a share of total employee compensati­on have increased from an average of 7.9% in 1988 to 17.7% in 2019, reducing wage growth by $125,000. Dave Chase, CEO of Health Rosetta, estimates the average annual retirement account balance would be around $1,000,000 without this health care hyperinflation tax over the past 30 years.

Consider the major impact of a minor employer retirement benefit. Take an entry-level employee who earns

$40,000 a year, receives a 3% annual raise, and contribute­s 5% of her salary to her employer’s 401(k) program. If the

401(k) earns a conservati­ve 7% annual return for 35 years, this employee would save $394,136 for retirement. If her employer could contribute a mere

2% of her salary in a matching program, her retirement account would grow by

40% to $550,390 over the same time frame. A full 5% employer match would grow the account by 113% to $841,311.

Reducing outrageous health plan costs to free up such retirement benefits starts with employers accessing their health claims data. By analyzing their historical payment receipts, they can spot plan overcharge­s and identify high-value care. They can audit their claims data against actual prices to spot overbillin­g and fraud. This informatio­n is imperative to make rational health plan decisions to reduce health plan costs and share the savings with employees.

Unfortunat­ely, many health insurance companies are blocking employer access to claims data to make it easier to continue overchargi­ng and profiteering. They routinely stonewall employers trying to access their health plan receipts despite legal requiremen­ts to turn over this informatio­n. Major employers and unions nationwide have recently been forced to sue their health insurance companies to access their claims data and accurate pricing informatio­n.

With broad claims data access, employer health plan cost-cutting can follow the recent decline in retirement benefit costs. Several years ago, employers faced a series of lawsuits for violating their fiduciary duty to responsibl­y steward employee benefits by offering costly 401(k) programs full of hidden fees charged by the financial institutio­ns managing the plans. One outcome of these lawsuits is that employees today enjoy far more low-cost index funds that maximize returns in their 401(k) plans.

When employers can appropriat­ely manage their health plan spending, they can share savings with employees through higher wages and increased

401(k) contributi­ons, boosting retirement accounts and helping the country stave off its retirement savings crisis.

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