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The Goodman Institute Health Blog

Employer Health Care Down; Obamacare Coverage Up

Posted on September 30, 2025September 30, 2025 by John C. Goodman

The annual BLS survey of employer-sponsored benefits shows that the share of workers with access to medical benefits increased to 74% this year from 71% in 2019. That’s good news. Yet curiously, the share of workers who participate in employer medical plans among those with access to them—i.e., the take-up rate—has fallen to 65% from 73%.

The take-up rate has fallen more among part-time workers (to 44% from 56%) and employees whose wages are in the bottom 25% (49% from 61%) and 10% (34% from 57%) of the income spectrum. Why would increasing numbers of lower-income workers reject employer-sponsored coverage? Perhaps because they can now get ObamaCare plans at no cost.

The Inflation Reduction Act’s enhanced subsidies enable Americans who earn between 100% and 150% of the poverty line—$15,650 and $23,475 for an individual—to qualify for zero-premium health coverage and reduced deductibles. Workers typically have to pay deductibles and 20% of their premiums in employer plans.

Source: Wall Street Journal

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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

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John C. Goodman,

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