By NextBestFitPhase 3: Waves 2 & 3: working-age adults · Step 3.3
Wind down the private health insurers
Years 1–5 · State insurance commissioners; NAIC; UHADiscuss this step
Insurers' economic losses: about $279.6B a year in overhead and profit that no longer exists, of which about $42.0B is profit. These are private losses, not a government cost. No compensation is paid.
| Cost item | Type | 2024 / before | Amount |
|---|---|---|---|
| Insurer & plan overhead eliminated 11 calculation steps | Saving | $306.0B | −$279.6B |
| Jobs: Health & medical insurance carriers (incl. Medicare Advantage & Medicaid plans) 5 calculation steps | Jobs | — | −$35.8B |
| Jobs: Third-party administrators & claims adjusting (health share) 5 calculation steps | Jobs | — | −$6.5B |
| Jobs: Health insurance brokers, agents & benefits consultants 5 calculation steps | Jobs | — | −$5.2B |
| Jobs: Pharmacy benefit manager corporate staff 5 calculation steps | Jobs | — | −$2.9B |
| Insurer shareholder value at risk 5 calculation steps | Loss | — | −$567.0B |
| PBM gross profit lost 2 calculation steps | Loss | — | −$28.0B |
| Broker & agent commissions lost 2 calculation steps | Loss | — | −$32.0B |