Over Half of U.S. Private-sector Workers Are Enrolled in HDHPs

From: Staffing

Over Half of U.S. Private-sector Workers Are Enrolled in HDHPs

News Brief

More than half (55.7%) of American private-sector workers were enrolled in high deductible health plans (HDHPs) in 2021, according to the Kaiser Family Foundation’s recent 2022 Employer Health Benefits Survey. The 5.3% increase from 2020 is the highest on record, and 2021 is the eighth straight year an increase has occurred. 

The top three states with the highest HDHP enrollment were Maine (76.2%), Tennessee (68.7%) and Nebraska (67.6%), all of which were not seen breaking the top 10 in HDHP enrollment in 2020. 

HDHPs are on the rise because of the growing costs of health insurance. These plans create a more flexible way for someone to spend their health care dollars and require more active involvement in the management of health care spending. HDHPs also allow enrolled individuals to set aside pre-tax dollars for out-of-pocket health care expenses when combined with health savings accounts and health reimbursement arrangements.


“With health insurance costs rising over the years, it’s not surprising that HDHPs are growing in popularity.” – Divya Sangameshwar, ValuePenguin health insurance expert


What’s Next?

Employers continue to prioritize HDHP plans over preferred provider organization (PPOs) and health maintenance organization (HMOs), most likely due to cost savings in a time of economic uncertainty. Employers must consider implications of their offerings in the midst of a tight labor market. 

To stay in tune with employee needs, employers should stay up to date with HDHP trends in the upcoming years. 

Contact George Belcher Evans & Wilmer for more information on trends near you.