By NextBestFitInsurance and billing workers
People whose jobs exist to sell coverage, process claims, or manage billing between providers and many payers.
Size: About 975,261 jobs would be displaced in a full transition (site estimate); 451,820 work at health insurance carriers
Sources: Bureau of Labor Statistics (2026)
Under your mix of paths
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Problems that hurt them
Paths that fix these help them.
- Simplifying billing would displace hundreds of thousands of workers: Workers lose jobs if billing is simplified without a transition plan.
- Transition disruption: jobs, companies, and familiar coverage: Jobs selling coverage and processing claims end.
Problems they gain from
Paths that fix these cost them.
- About $1 trillion a year in administrative cost: Their jobs exist because of the complexity.