A line in the budget you can shrink — without touching services or taxes.

Cities, counties, and public agencies carry large, stable workforces and rising health costs that land on taxpayers. This strategy lowers that spend without changing the plan your employees rely on.

Request a presentationHow the strategy works
Why local government fits

Big payrolls, fixed budgets, and a cost that only rises.

Large, stable workforces

Public payrolls run into the hundreds and thousands of benefit-enrolled employees — and health cost climbs with every one.

Budgets under pressure

Every premium increase competes with services, staffing, and reserves. There's rarely new revenue to absorb it.

A workforce that fits

Public workforces skew toward dual-income households — the composition where the strategy performs best.

Independently validated

These aren't our numbers. They're a third party's.

4
public employers, results independently validated
≈ $8,800
in claims moved off-plan per enrolled employee
$7,300–$10,400
the validated range across those employers

A third-party-audited sample of 2024 results — only a sample; actual results span far more organizations and run higher today as per-employee costs rise. Net savings vary by workforce.

Run your numbers

What would this free up in your budget?

Treat this as directional — the real model is built from your census, confidentially, before any decision goes to council or board.

Get your confidential model
Order-of-magnitude estimate
interactive
500150,000
$
Likely participantsOn average about 30% of a company's workforce qualifies for this program once single-person households, dual-eligibles, and similar factors are counted. We model a conservative 10–20% actually enrolling.
200
Savings per participant
$13,000$14,500
after a $4,000–$5,500 program costThe program averages $4,000–$5,500 per enrolled employee; the rest is your savings. Those savings are independently validated — audits by the Validation Institute documented roughly $5,500 to $16,000 in claims moved off-plan per enrolled employee.Source: Validation Institute, 2024 validated results (on file).
Projected annual savings
$2,600,000+
$13,000,000+ over a typical 5-year engagement
A directional estimate at 20% participation. The real model is built from your census and replaces this number with a defensible one.
Where the savings go

Dollars back to the budget — without raising taxes or cutting services.

For a city or county, every dollar lost to rising premiums is a dollar not spent on residents. This recovers spend from a line you're already paying — and returns it to where it was meant to go.

Recovered dollars fund
Public services and staffing
Reserves and balanced budgets
Less pressure on taxpayers
Competitive benefits that retain workers

Nothing about your plan, your carrier, or your employees' coverage changes.

Carrier & network
No change
Plan design & renewal
No change
Broker of record
No change
Employee coverage
Same or better
Related briefingHow Public Employers Can Lower Health Costs Without Raising Taxes or Cutting ServicesRead the briefing

One hour with your finance team. A model built on your census. Then it's your call.

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