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ICHRA adoption challenges: Employee flexibility vs. coverage quality

Activity in a market like Pittsburgh might be 25 times stronger than in some other places, cash-for-coverage program insiders say.

By Allison Bell | March 04, 2025 at 01:21 PM
Take Command sees Pittsburgh as a strong market for ICHRA programs. Credit: TainaLee/Thinkstock

The market for the new individual coverage health reimbursement arrangement plans, or ICHRA plans, may be about 25 times stronger in some places than in others.

Executives from Take Command Health, one of the benefit plan administrators that helped create the modern “cash for coverage plan” market, gave that assessment during a recent ICHRA market update webinar that attracted more than 500 participants.

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