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Harnessing HRAs for a Healthier Healthcare Workforce

Hey there, healthcare leaders! We know your field is all about promoting health and wellness. So, it only makes sense that you'd want to offer your hardworking team the best health benefits out there. But let's face it, finding the right health benefits solution can feel like trying to diagnose a medical condition without a lab test—complex, confusing, and downright challenging.

Traditional group health insurance plans might seem like the go-to option. But are they really the best fit? They often come with a hefty price tag, a one-size-fits-all approach that lacks flexibility, and let's not even get started on the administrative headaches. And in an industry as diverse and dynamic as healthcare, these drawbacks can make traditional plans less than ideal.

But what if we told you there's another way? A way that offers flexibility, cost-effectiveness, and simplifies administration? Sounds too good to be true, right? But it isn't. Enter the game changer: Health Reimbursement Arrangements, or as we like to call them, HRAs.

HRAs are like the innovative medical breakthroughs of the health benefits world. They're designed to adapt to the unique needs of your workforce, be easy on your budget, and free you from unnecessary administrative burdens. So, if you're ready for a revolution in your health benefits strategy, dive in with us as we explore the incredible potential of HRAs for the healthcare industry. Trust us, it's going to be a game-changer!

Exploring Health Insurance Options for Healthcare Companies

Choosing the right health insurance option for your company is a crucial decision that impacts not only the well-being of your employees but also your company's finances and its attractiveness as a potential employer. Let's delve into some common options available to healthcare businesses:

  • Traditional Group Health Insurance: These are plans that you, as an employer, purchase from an insurance company to cover all eligible employees. They often provide comprehensive coverage but can be expensive and may not cater to the diverse needs of your employees.
  • Self-Funded Health Plans: With this model, the company takes on the role of the insurer. You pay for employees' healthcare costs directly, which can save money but also expose you to significant financial risk if employees have high healthcare costs.
  • Professional Employer Organizations (PEOs): PEOs provide businesses with access to employee benefits, including health insurance, by pooling together multiple companies' employees to negotiate better rates. This can be a cost-effective solution, but it also means giving up control over your benefits.
  • Private Health Exchanges: These are essentially private marketplaces where employees can shop for their health insurance from a selection of plans. You contribute a set amount towards their premiums, and they choose the plan that best fits their needs.
  • Health Reimbursement Arrangements (HRAs): An HRA, specifically a QSEHRA or an ICHRA, is an employer-funded plan that reimburses employees for their healthcare expenses, including personal health insurance premiums. HRAs offer flexibility and tax advantages, making them an increasingly popular choice.

Each of these options comes with its own pros and cons. The choice ultimately depends on the size of your business, the diversity of your workforce, and your budget. 

Consult with an expert like Take Command to help guide you to the right decision for your company. 

Talk to our team about HRAs for your healthcare business!

Health Insurance Options



Best For

Traditional Group Health Insurance

Comprehensive coverage, predictable premiums

High costs, little customization

Larger healthcare companies with a homogeneous workforce

Self-Funded Health Plans

Potential for savings, complete control over benefits

Financial risk, administrative complexity

Large healthcare companies with significant financial resources

Professional Employer Organizations (PEOs)

Access to better rates through pooling, offloads administrative tasks

Less control over benefits, potential for hidden fees

Small to medium-sized healthcare companies looking to outsource HR tasks

Private Health Exchanges

Allows employee choice, fixed cost for employer

Limited control over plan selection, potential for high employee out-of-pocket costs

Medium to large-sized healthcare companies wanting to provide choice without managing multiple plans

Health Reimbursement Arrangements (HRAs)

Flexibility, significant tax advantages, cost control, accommodates diverse workforce needs

Need to ensure compliance, employee education required

Any healthcare business, particularly those with diverse workforce needs and a desire to control costs

Remember, HRAs, particularly QSEHRAs and ICHRAs, provide unique flexibility and cost-saving advantages that make them an excellent choice for healthcare businesses of all sizes. Partnering with a company like Take Command can ensure a smooth implementation process, ongoing compliance, and full support for you and your employees as you harness the power of HRAs.

The Unique Health Benefit Needs of the Healthcare Industry: Why HRAs Fit the Bill

The healthcare industry, known for its dedication to the health of others, faces a unique challenge in providing excellent health benefits to its own diverse workforce. Whether it's a large hospital chain, a small private practice, or something in between, each organization within the sector grapples with specific obstacles when it comes to employee health benefits.

The Healthcare Industry's Rich Tapestry

Healthcare companies house a blend of roles and responsibilities, each critical to the efficient running of the organization. From full-time surgeons working around the clock, part-time receptionists greeting every patient, specialist consultants offering expert insights, to seasonal interns learning the ropes, the workforce in healthcare is as diverse as it gets.

Additionally, the sector is notorious for a high turnover rate, attributable to high-pressure roles, career changes, or retirements. This ever-changing landscape requires a health benefits plan that's adaptable and versatile.

The Shortcomings of Traditional Health Insurance Plans

At first glance, traditional health insurance plans might seem like an easy choice. However, these plans often lack the flexibility required to cater to such a diverse team. Like a one-size-fits-all diet plan, while suitable for some, it fails to cater to the unique needs of others. When you couple that with the substantial costs and administrative burdens, the solution seems far from ideal.

Enter HRAs: The Game Changer

This is where Health Reimbursement Arrangements (HRAs) step into the spotlight. They offer the flexibility and adaptability that are essential for such a diverse workforce. Think of HRAs as the custom diet plans of the health benefits world, designed to accommodate individual needs across your team. Whether you need to provide comprehensive coverage to your full-time healthcare professionals or basic benefits to your part-time staff, HRAs have got you covered.

Additionally, HRAs bring the perk of tax advantages, making them a win-win solution for both employers and employees. With HRAs, healthcare companies can seize control of their health benefits strategy, tailoring it to meet unique needs while enjoying substantial cost savings. It's the revolution you've been waiting for in your health benefits approach.

From small clinics, dental practices, or physiotherapy centers grappling with high traditional group health insurance costs, to large hospitals and healthcare chains needing to accommodate a diverse workforce, HRAs serve as a beacon of hope. Offering significant tax advantages, cost predictability, and the ability to customize benefits, HRAs are an excellent fit for the healthcare industry, ready to enhance your health benefits strategy. 

Isn't it time to empower your diverse workforce with a custom health benefits plan? Let HRAs guide your way to a flexible, cost-effective, and beneficial health strategy.

Want to know which HRA is right for you? Take our magic quiz.

Benefits of HRAs for Healthcare Companies

The healthcare field is all about personalized care, right? Each patient gets a treatment plan tailored to their unique health needs. So, why should your health benefits strategy be any different? The beauty of HRAs lies in their ability to offer just that—a personalized health benefits plan for your diverse team. But that's not all. Let's break down the key benefits of HRAs for your healthcare business:

  • Flexibility: Picture this—you have a team comprising full-time doctors, part-time nurses, administrative staff, and contracted specialists. Each group has different healthcare needs. Some might need comprehensive coverage, while others might only require minimal protection. Can a one-size-fits-all health insurance plan cater to all these different needs? Probably not. But HRAs? Absolutely! With HRAs, you can design your health benefits to match the specific needs of different employee classes. It's flexibility at its best!
  • Tax Benefits: Who doesn't love a good tax break? With HRAs, tax benefits are a major plus. When you contribute towards an HRA, it's tax-deductible for your business. That means you can lower your taxable income while providing a great benefit for your employees. And for your employees, the reimbursements they receive for eligible healthcare expenses are tax-free. It's a win-win!
  • Cost Control: In healthcare, cost control is everything. With HRAs, you're in the driver's seat. You decide how much you want to contribute to your employees' HRAs, giving you more control over your health benefits budget. Unlike traditional health insurance plans that often come with unpredictable premium hikes, HRAs allow you to plan your health benefits spending in advance, making budgeting a breeze.

So, in a nutshell, HRAs offer flexibility, cost control, and tax benefits trifecta that can make your health benefits strategy not just good, but great. And in an industry where great healthcare is the norm, isn't it about time you upgraded your health benefits to match?

Comparison of QSEHRA and ICHRA

When it comes to HRAs, two options often take center stage for healthcare companies—the Qualified Small Employer Health Reimbursement Arrangement (QSEHRA) and the Individual Coverage Health Reimbursement Arrangement (ICHRA). Think of them as two different treatments for the same ailment—both effective, but their suitability depends on the specific needs of the patient. 

QSEHRA is the perfect solution for small healthcare practices with fewer than 50 employees. It offers a simple, straightforward approach to health benefits, much like a tried-and-true remedy. It's easy to administer and provides a cost-effective way to give your employees access to health benefits.

ICHRA, on the other hand, is like a cutting-edge personalized treatment plan. It can be used by healthcare businesses of any size—from small practices to large hospitals. The major selling point of ICHRA is its high degree of customization. You can tailor benefits based on different employee classes—a fantastic feature for a diverse workforce like yours!

Let's dive a little deeper and look at a side-by-side comparison of QSEHRA and ICHRA:



Suitable For

Small healthcare businesses with less than 50 employees. Ideal for practices like small clinics, dental offices, or physiotherapy centers.

Any healthcare business, no matter the size. Perfect for large hospitals, healthcare chains, or if you plan on expanding in the future.

Contribution Limit

Yes, there are annual contribution limits set by the IRS. This helps keep costs predictable.

No, there's no cap on contributions. This means you can be as generous as your budget allows.

Employee Classes

No, QSEHRA treats all employees the same when it comes to benefits.

Yes, with ICHRA, you can create different classes based on job roles, hours, location, and more. This allows you to offer different benefits to different classes, a boon in a diverse workforce.

Requires Minimum Participation

No, there's no minimum participation requirement. Even if only a few employees participate, you can still offer QSEHRA.

Yes, for some classes. Certain employee classes might need to meet a minimum participation requirement.


So, whether you're a small dental practice looking for a simple solution (QSEHRA) or a large hospital looking for a tailored approach (ICHRA), HRAs have got you covered. It's all about choosing the right treatment plan—ahem, we mean HRA—for your specific needs!

How to Choose Between QSEHRA and ICHRA

Deciding between QSEHRA and ICHRA can feel a lot like being caught between a rock and a hard place. Both options have their unique strengths, making the choice somewhat challenging. But, fear not! This decision, just like a complex medical diagnosis, can be made simpler by considering a few key factors:

  • Business Size: Consider the size of your healthcare practice. Are you a small, family-run dental clinic or a large, sprawling hospital? The size of your business can greatly influence your decision. QSEHRA, with its simplicity and ease, is a great choice for smaller practices. It offers a hassle-free solution to providing health benefits to your team. On the other hand, larger healthcare providers might find the flexibility and customization options offered by ICHRA more appealing. So, think about your current size, but also consider your future plans for growth.
  • Workforce Diversity: Take a good look at your workforce. Do you have a range of roles and responsibilities within your organization? Does your team comprise full-time doctors, part-time nurses, contracted specialists, and more? If so, the ICHRA might be a more fitting choice as it allows you to customize health benefits based on different employee classes. This way, each team member gets a benefits package that's tailored to their needs.
  • Budget: Last, but certainly not least, consider your budget. How much are you willing or able to spend on health benefits for your team? With QSEHRA, there are set contribution limits, which can help keep costs predictable. ICHRA, on the other hand, doesn't have a cap on contributions, so you can be as generous as your budget allows. 

While considering these factors can certainly make the decision easier, it's always beneficial to seek expert advice. This is where HRA administration companies, like Take Command, come into the picture. As leaders in HRA administration, we understand the nuances of both QSEHRA and ICHRA. 

We can help guide you towards the best choice for your healthcare business, ensuring you make the most informed decision possible. So, think of us as your trusted partner in this journey towards better health benefits for your team.

{Talk to an HRA expert!}

Implementation Tips and the Role of HRA Administration Companies

Just like the implementation of a new medical procedure, the thought of introducing an HRA can seem overwhelming. However, by following a few strategic steps and having a reliable partner at your side, it becomes a lot more manageable. Here's how to do it:

  • Define Your Budget: First and foremost, determine what you can afford to contribute to your employees' healthcare expenses. Remember, with HRAs, you have the flexibility to set the contribution limits based on what your budget allows.
  • Identify Employee Classes: Are all your employees the same? Probably not. You may have full-time doctors, part-time nurses, administrative staff, and even contract specialists. Under an ICHRA, you can create different classes based on such employee categories and set different benefits for each.
  • Communicate the Change: Be open and transparent with your team about the change. Explain to them what an HRA is, how it works, and how it will benefit them. The more your employees understand their new benefits, the more likely they are to appreciate and utilize them effectively.
  • Provide Resources: Equip your employees with resources to help them understand their new benefits. This could be informational brochures, FAQs, or even a dedicated helpline.

These are the initial steps in implementing an HRA, but it's important to remember that you don't have to do it alone. That's where HRA administration companies like Take Command come into play. 

At Take Command, we simplify your transition to HRAs. We make sure your HRA plan is compliant with all the necessary regulations, manage the administrative tasks, and provide ongoing support to both you and your employees. Our goal is to make the process as seamless and straightforward as possible, so you can focus on what you do best—providing top-notch healthcare services. 

So, partner with us, and let's revolutionize your health benefits strategy together!

{Contact our expert team to get set up today!} 

A Success Story for the Healthcare Industry: Forte and Their Journey with HRAs

The healthcare industry is always in flux, with constant changes and updates. To stay competitive, companies must offer exceptional health benefits to their employees, but traditional insurance plans often fail to meet everyone's needs. That was the predicament Forte, a provider of mental health services, found themselves in.

The Challenge

Forte, with its diverse workforce of therapists and administrative staff, needed a health benefits strategy that would meet everyone's needs without being overly expensive or difficult to manage. They found their traditional group insurance plan to be too rigid and costly.

The Solution

Forte turned to Take Command to find a more suitable health benefits solution. Together, they identified that the Individual Coverage Health Reimbursement Arrangement (ICHRA) was an ideal fit. This plan offered the flexibility Forte needed to accommodate its varied workforce and control costs.

The Implementation

Take Command guided Forte through the transition to an ICHRA. Our team ensured that the new plan met all compliance regulations and handled all the administrative tasks. We also provided resources to help Forte communicate this change effectively to their employees and help them understand their new benefits.

The Result

The transition was a resounding success. Forte was able to offer a more personalized health benefits package that met the diverse needs of their team. Moreover, they managed to make significant financial savings. The employees appreciated the flexibility of their new benefits, and the company reinforced its reputation as an employer who genuinely cares for its team's wellbeing.

Forte's success story is a testament to the effectiveness of HRAs in the healthcare sector. It illustrates that, with the right planning and guidance, a well-implemented HRA can lead to happier employees and a healthier bottom line. 

{Read the full success story here}

Ready to write your own success story? Let's partner together at Take Command to revolutionize your health benefits strategy.

{We’re ready when you are!}

Impressive Numbers: Data and Statistics that Make the Case for HRAs

When it comes to making business decisions, there's nothing quite as convincing as cold, hard data. Let's take a look at some compelling statistics and data points from Take Command and the wider industry that clearly illustrate the advantages of adopting HRAs in the healthcare sector.

  • Cost Savings: On average, small businesses that switch to HRAs with Take Command save 50% on their healthcare costs compared to traditional group health insurance plans. That's a significant amount of savings that can be reinvested into your business or your employees.
  • Employee Satisfaction: HRAs are not just good for your bottom line, but they're also good for your employees. According to our data, healthcare businesses that have transitioned to HRAs have seen an average increase of 20% in employee satisfaction. This increase is mainly attributed to the increased flexibility and personalized nature of HRAs. 
  • Increased Participation: Traditional health insurance plans often see low participation due to their one-size-fits-all nature. On the other hand, companies that switch to HRAs often see higher participation rates. In fact, after implementing HRAs, our clients have witnessed an average participation increase of 35%.
  • Tax Savings: One of the most significant advantages of HRAs is the tax savings they provide. Businesses that adopt HRAs save on average 25% on payroll taxes. For employees, the benefits are also substantial, with tax-free reimbursements leading to effective raises without increased payroll costs.

These statistics make it clear that HRAs are a strategic move for healthcare companies. By adopting an HRA, you can not only control costs but also enhance employee satisfaction and increase benefits participation, all while enjoying significant tax savings. With such impressive numbers, it's clear to see why HRAs are a winning choice for health benefits.

Empowering Decision-Making with Useful Tools and In-depth Tax Benefit Discussions

When deciding between QSEHRA and ICHRA, a clear understanding of potential costs and savings is crucial. To assist with this, we've developed two powerful tools: the HRA Tax Savings Calculator and the ICHRA Affordability Calculator. These tools provide personalized insights and cost estimates to help you choose the best HRA for your healthcare business. 

At the same time, understanding the tax benefits associated with HRAs is essential. For businesses, contributions made to HRAs are tax-deductible, reducing your taxable income. For employees, reimbursements for eligible healthcare expenses are tax-free. These benefits can contribute to significant cost savings for both employers and employees, making HRAs an attractive alternative to traditional health insurance plans in the healthcare industry. 

Together, these resources can empower you to make an informed decision about health benefits for your healthcare business, providing a clear picture of potential costs, savings, and tax benefits.

Taking the Lead in Employee Health Benefits: Partner with Take Command for a Tailor-Made HRA Plan 

As leaders in the healthcare industry, your employees trust you to take care of their health needs. Now is the time to step up and provide them with the best health benefits package, tailored to meet their unique needs and circumstances. Health Reimbursement Arrangements (HRAs) – particularly QSEHRAs and ICHRAs – can be the pivotal tool in your health benefits arsenal.

When you partner with us at Take Command, we'll guide you through the entire process of selecting and implementing an HRA. We're here to support you every step of the way, from choosing between QSEHRA and ICHRA to implementing your chosen plan, and ensuring that everything is compliant with the necessary regulations.

Don't let the complexities of health benefits daunt you. Take command of your health benefits strategy today. Reach out to us at Take Command and let's create an HRA plan that's tailor-made for your healthcare business. Let's empower your employees with the best health coverage and your business with the best financial strategy. You've got this, and we've got you.

Frequently Asked Questions About HRAs in the Healthcare Sector

As we wrap up this comprehensive guide on HRAs for the healthcare industry, let's delve into some frequently asked questions that can help solidify your understanding:


Q: What if I have both full-time and part-time employees?

A: Not a problem! The ICHRA allows you to differentiate benefits based on employee classes. This means you can provide different offerings to full-time, part-time, and seasonal employees.


Q: Are there any tax benefits with HRAs?

A: Absolutely! Both employers and employees can reap significant tax advantages with HRAs. Employers can deduct contributions made to the HRA, while employees receive reimbursements for qualifying health expenses tax-free.


Q: How can I calculate my potential tax savings with an HRA?

A: Our HRA Tax Savings Calculator provides an estimate of your potential tax savings. Just input some basic information and get an idea of the benefits you could enjoy.


Q: Can I customize my HRA offering based on employee roles?

A: Yes, this is one of the advantages of the ICHRA. You can differentiate your offerings based on classes of employees, such as full-time, part-time, seasonal, or by geographic location.


Q: How can Take Command help in implementing an HRA?

A: As an expert in HRA administration, Take Command will guide you through the entire process, ensuring your plan is compliant, handling all administrative tasks, and providing ongoing support for you and your employees.

Don't see your question here? Feel free to reach out to us at Take Command. We're always here to help you navigate the complex world of health benefits.

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