New York’s health insurance affordability gap surged to a new high last year, with state residents and their employers paying an average of almost 16 percent more than the U.S. norm for single coverage, according to newly released federal data.

New York’s average premium for a single, private-sector employee, at $8,542 per year, maintained its ranking as highest in the continental United States, second only to Alaska at $9,037 (see first chart).

Source: U.S. Agency for Healthcare Research and Quality

It also hit 15.7 percent above the national average, which was the widest disparity for New York in the 25-year history of the annual survey by the U.S. Agency for Healthcare Research and Quality (see second chart).

Source: U.S. Agency for Healthcare Research and Quality

New York’s average family premium, at $23,450, was third highest among the states, behind Connecticut and New Hampshire, and 14 percent above the U.S. norm.

New Yorkers have long faced steeper-than-average insurance premiums due to its generally high cost of living and ill-conceived insurance regulations. The affordability differential has worsened in recent decades as state lawmakers imposed steep taxes and expensive mandates on health insurers – a trend that continued in 2021 and 2022

Health insurance taxes collected under the Health Care Reform Act, which add approximately hundreds of dollars to a typical premium, are projected to raise more than $5 billion this year, making them the state’s third largest source of revenue after income taxes and sales taxes.

While health premiums have spiraled across the country, New York’s have typically outpaced the national pace.

New York’s average single-coverage premium rose 4.5 percent from 2020 to 2021, compared to 3.2 percent nationwide. Over the past five years, New York’s average premium jumped 29 percent, compared to 21 percent for the U.S. as a whole.

 

About the Author

Bill Hammond

As the Empire Center’s senior fellow for health policy, Bill Hammond tracks fast-moving developments in New York’s massive health care industry, with a focus on how decisions made in Albany and Washington affect the well-being of patients, providers, taxpayers and the state’s economy.

Read more by Bill Hammond

You may also like

While New York’s Medicaid Budget Soared, Public Health Funding Languished

Four years after a devastating pandemic, the state has made no major investment to repair or improve its public health defenses. While funding for Medicaid over the past four years Read More

A Medicaid Grant Recipient Sponsors a Pro-Hochul Publicity Campaign

While much of the health-care industry is attacking Governor Hochul's Medicaid budget, at least one organization is rallying to her side: Somos Community Care, a politically active medical group in the Bronx that recently r Read More

Albany Lawmakers Push a $4 Billion Tax on Health Insurance

Legislative leaders are proposing an additional $4 billion tax on health insurance plans in the upcoming state budget – but withholding specifics of how it would work. Read More

Loss of Patients and Revenue Foreshadowed Downsizing for SUNY Downstate

The SUNY-owned hospital in Brooklyn facing a newly announced downsizing plan has seen its patient volume and revenue plunge over the past decade, according to a review of its financial reports. Read More

How a Medicaid Program To Improve Nursing Home Care Ended Up Paying for Union Benefits

New York State's budget-making process sometimes works like a closed loop, as interest groups on the receiving end of state spending reinvest a portion of their proceeds to lobby Albany for still more money. Read More

Despite Lingering Shortages, New York’s Health-Care Workforce Is Bigger Than Ever

The state's health-care workforce is recovering unevenly from the pandemic, with persistently lower employment levels in some areas and robust growth in others. This mixed pattern c Read More

The Wacky Math of New York’s Essential Plan

Thanks to an absurdly wasteful federal law, New York's Essential Plan is expected to continue running billion-dollar surpluses even as state officials more than double its spending over the next several years. Read More

In a Tight Budget Year, New York’s Hospital Lobby Shoots for the Moon

As Governor Hochul calls for spending restraint next year, influential hospital lobbyists are pushing what could be the costliest budget request ever floated in Albany. In a , the G Read More