Ideon Blog

Over half of the U.S. is ICHRA-friendly in 2023

Today Ideon’s 2023 ICHRA map is live! This interactive tool highlights those counties and states where the Small Group to Individual ACA health insurance premium dynamics are conducive to ICHRA adoption.

We believe the 2023 landscape was highly impacted by Bright Health’s exit from the individual market affecting 16 states.  Bright has been a price leader in many markets and had Bright stayed in, we expect the number of ICHRA-friendly counties and states would have increased beyond that which is noted below.

Key findings:

• Over half of the U.S. is ICHRA-friendly: in 26 states, the 2023 Individual Bronze plan premiums are equal to, or less than, those of Small Group.  This is a two state increase from 2022.
• We are seeing Individual premiums across all metal levels continue to migrate towards parity with Small Group premiums, or be less expensive. In 16 states, the 2023 Individual Silver, and Individual Gold plan premiums are equal to, or less than, those of Small Group.  There was no change for Silver plans and an increase of two states for Gold plans.
• Well known employer brands (i.e. the Blues, Cigna, UHC and Aetna, a CVS Health Company) continue to expand their Individual geographic footprints covering substantially all counties.  The availability of Individual plan options from these brands gives comfort to employees migrating from group health plans, often sponsored by these very same brands, to the individual market through an ICHRA.

Stay tuned for more insights on the 2023 ICHRA landscape. For information about Ideon’s ICHRA solutions, contact us here.