01430nam a2200253   4500001000800000005001700008007000300025008004100028040000800069041000800077100002400085245007700109300002500186520057300211650003800784650004300822650006000865650003100925650003600956700002600992773011001018942003101128999001701159ESSALUD20260902154414.0ta      t        pe ||||| |||| 00| 0 spa d  aBMG  aeng  aSong, Zirui 954445  aA sleeping giant of health care affordability — Self-Insured employers  apáginas: 1878-1880  aMore than half of Americans — approximately 178 million people — have employer-sponsored health insurance, the coverage sector where health care prices have risen the fastest. More than 60% of this population is covered by self-insured (or “self-funded”) plans: the employers or unions themselves, not insurance companies, pay the medical bills of their workers and workers’ dependents. Increasingly, health care expenses among these workers and families are driving the nation’s reckoning over the cost of living and the policy shift toward affordability.  aMEDICINA CLÍNICA GENERAL953666  aCOSTO DE LA ATENCIÓN MÉDICA954150  aPRESTACIÓN DE SERVICIOS DE ATENCIÓN MÉDICA954151  aCOBERTURA DE SEGURO954446  aCALIDAD DE LA ATENCIÓN954152  aGondi, Suhas  9544470 022717922669dMassachusetts NEJM GroupoNEJM014tThe New England Journal of Medicine wESSALUDx0028-4793  cARTICULOSe2026-08-31zsqb  c22898d22898