Excessive turnover is likely one of the largest challenges going through the house well being trade. Between employees shortages and fierce competitors from hospitals, nursing houses, and different healthcare employers, house well being suppliers wrestle with each recruiting new staff and retaining present ones.
Providing a robust advantages bundle is a technique for house well being firms to draw expertise. Nevertheless, group medical health insurance is usually a poor match for house well being businesses managing tight budgets and a mixture of full-time and part-time staff.
The Dwelling Well being HRA Report from Take Command presents well being reimbursement preparations (HRAs) as an answer for house well being businesses. With HRAs for Dwelling Well being firms, employers set a set finances for healthcare advantages, and staff obtain an allowance to spend on high quality protection that meets their wants.
Let’s check out three key takeaways from the 2025 Dwelling Well being HRA Report:
1. HRAs help recruitment and retention
Sustaining a steady workforce permits house well being firms to supply the constant, high quality care sufferers count on. It additionally helps companies keep away from the prices related to recruiting and coaching new employees members.
Based on the Dwelling Well being HRA Report, 23% of small house well being firms turned to ICHRA to enhance retention.
With HRAs, caregivers have entry to the reasonably priced protection they should prioritize their well being. With that help, staff are much less prone to search for job alternatives elsewhere.
Group insurance coverage is a poor match when staff are distributed throughout areas. It may be troublesome for workers outdoors the first space to entry in-network care, leaving them feeling poorly served by their well being profit. Particular person protection HRAs provide higher flexibility — staff can select their very own plan based mostly on healthcare suppliers of their native space. With a alternative on healthcare, staff throughout areas get essentially the most out of their advantages.
Learn our information on boosting recruitment & retention for Dwelling Well being Firms!
2. HRAs assist house well being businesses get began with advantages
Each house well being firm desires to care for its devoted staff. Nevertheless, excessive prices and strict participation necessities lock many small companies out of group plans earlier than they’ll even start.
HRAs are an reasonably priced start line for firms providing advantages for the primary time.
In 2025, 35% of Take Command’s house well being purchasers have been new to advantages.
With HRAs, you can begin providing aggressive advantages with out shouldering the monetary burden of group insurance coverage.
HRAs additionally cut back the executive complexity of providing well being advantages. Because the employer, you don’t have to decide on, negotiate, or administer medical health insurance on your staff. As an alternative, every member of your group retailers for and buys their very own insurance coverage on the person market. Small house well being firms, even these with out devoted HR departments, can simply handle advantages with HRAs.
3. Firms usually see 30% financial savings with ICHRA
For house well being firms already providing advantages, HRAs function an off-ramp from costly group plans. The price of group insurance coverage is the principle motive giant firms flip to HRAs, in line with Take Command’s report.
Dwelling well being firms typically get caught in a cycle of accelerating renewal charges. Group insurance coverage premiums usually rise 12 months after 12 months, and only one excessive claimant can ship these prices spiraling. HRAs are a fixed-cost various — you management your healthcare spend and staff get the standard protection they deserve.
The typical reimbursement price for households on Take Command’s ICHRA platform is $5,503.84 lower than the common yearly premium for employer-sponsored household well being protection. These financial savings don’t compromise the standard of protection on provide — 65% of house well being ICHRA plans are gold, silver, or platinum.
HRAs are serving to house well being firms throughout america cut back their healthcare spend and enhance worker satisfaction. Learn the report in full to seek out out if HRAs are a match on your group.
