Commentary: Change is the new normal. Over the last decade, the pace of business has intensified dramatically. Now, we spend considerable time wondering whether the foundations of our various industries are still true, and whether they’ll be true tomorrow.
New technologies have created heightened expectations for our availability and our productivity, and that has led to seismic shifts in our work lives, sending repercussions through business operations. Once it was safe to assume that if we conducted business the way we had previously, we’d be safe. But now, that can be a very dangerous approach. The assumption that standing still is smart strategy has been disproved over and over again the last few years.
With that in mind, I think it’s smart to consider what’s going to happen to health insurance and employee benefits over the next five to 10 years. Is it possible to look at the tea leaves and forecast possible disruptions to the way benefits are delivered to employees? Here are some of those tea leaves:
1. The definition of an employee. Two of the hottest trends in business are the “gig economy” and the “sharing economy” (yes, we can have parallel economies). The gig economy refers to people working various jobs, or gigs, without having any real commitment to any one employer. The sharing economy refers to the explosion of business models that rely upon people sharing something rather than owning it. For example, one of the world’s largest content companies (Facebook) produces no content; one of the world’s largest transportation companies (Uber) owns no vehicles; and one of the world’s largest lodging companies (Airbnb) owns no real estate.
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But how do people who work for these companies get their health insurance? Should they be considered employees? At this point, it’s hard to say one way or another. The recent
Which brings us to the next factor…
2. The maturation of the public health insurance marketplaces. The rollout of the federal and state insurance exchanges has been, at best, rocky. Even so, there are now several million people enrolled in the exchanges. To date, employers have been reluctant to direct their employees onto the public marketplaces, but as health care costs rise, that could change.
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While it’s unlikely that the marketplaces will ever be able to match the high-touch benefits experience that some broker consultants provide, it is possible that the marketplaces will become a more palatable option.
3. Rising costs. While the health care law is titled the Affordable Care Act, costs are rising. And while the premise of this article is that we are living and working in an era of constant change, the one constant in this business has been that costs continue to rise. Will that continue into the future? If it does, how will it impact the delivery of benefits to employees? Will employers seek new alternatives, such as the marketplaces, if their insurance spend continues to escalate?
4. The next president. This is a big one. In January 2017, the new president could be someone who will reverse some of President Obama’s policies, including significant chunks of the ACA. It could be someone who will continue those policies, or even build upon them.
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Under President Obama, the federal government has been employee-friendly; another way of looking at it is the Obama Administration has been antagonistic toward employers. In particular, the Department of Labor has created new policies and rigorously enforced existing ones. It’s fair to say that many employers have found the last eight years of regulation and enforcement to be onerous at the very least.
Will that trend continue under the next president? And, over the next four to eight years, in what direction will the next president take the country’s health care environment?
Employee benefits in one form or another have
Which brings me to my original point, what’s going to happen to health insurance and employee benefits over the next five to 10 years? A recent
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Regardless of where benefits land in the next decade, it seems safe to say that employers, and the brokers who help them cut through the ever-changing benefits complexity, will be the winners.
It’ll be fascinating to see how everyone evolves in the months and years ahead.
Because, rest assured, change is coming.
John Turner is president and CEO of