Getting the Best Health Care for Your Employees

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Providing great benefits for your employees without picking their pockets.

In a perfect world, business owners would possess the ability to fully provide for the health needs of their employees and their families. Unfortunately, we don't live in a perfect world. The rising cost of health care has left many small business employers with the difficult decision of either providing health coverage for their employees or watching helplessly as rising premiums decimate their employees' bank accounts and their bottom line.

There must be a better way, right?

Well, maybe there is. Before you throw in the towel on health insurance for your employees, you might want to consider some alternatives to your present health plan.

Managed Care

Many small businesses already take advantage of managed care health coverage for their employees. But if you currently offer traditional health insurance, managed care is something to think about. Managed care coverage is typically provided by an HMO (Health Maintenance Organization) that negotiates with doctors and other health care providers to reduce costs. Insured employees are restricted in their choice of health care providers (they must use doctors and providers who are part of the HMO), but the cost savings to both employer and employee can be substantial.


Some employers opt to provide in-house health coverage for their employees. The upside is that you don't have to continue to pay exorbitant premiums to insurance companies and HMOs. The downside (and it's a big downside) is that you are responsible for paying your employee's health-related expenses when they occur. Those costs can be hedged through stop-loss insurance that covers expenses over a certain threshold. Can you cut health costs through self-insurance? Maybe. But if you decide to do it, just make sure you're prepared to live up to your part of the bargain.

Medical Savings Accounts

Medical Savings Accounts (MSAs) and Health Savings Accounts (HSAs) allow employees to set aside a certain portion of their pay on a pre-tax basis. As long as disbursements are used for approved health expenses they are not taxed, and unused amounts remain in the account for future health-related expenses. If you choose to offer MSAs for your employees, do your research to make sure your plan complies with federal regulations.

Trade Associations

Trade associations usually provide their members with more affordable health care alternatives than the members could get on their own. They can do this because their combined size gives them a certain amount of bargaining power with insurance providers. This is an especially attractive alternative for small businesses who don't normally realize the per employee savings of larger corporations.

Health Prevention Services

The goal of any employee-sponsored healthcare program should be healthy employees. You can keep your employees healthy by providing them with a variety of preventative health services. These services can run the gamut from smoking cessation courses to fitness classes and events. In the long run, these services will not only save money, but also reduce interruptions in the workplace due to absenteeism and poor health.