As of now anyone making below $46,800 annually will get some government subsidy towards their health insurance premiums.
Obamacare will keep ERs caring for outwardly obvious needs ( stabbings, gun shots ) prioritized.
Common errors in ERs dealing with non life-threatening health issues
Failure to diagnosis
Inappropriate follow up
-Specialty Dr.’s refusing to do work in the ER
-30% less Dr.’s working in the ER in the state of California
73% of ERs report inadequate on-call coverage by specialist physicians
Orthopedic surgeons, neurosurgeons, trauma surgeons, hand surgeons, OB/GYN, neurologists, ophthalmologists are the hardest to find
Since the Patient Protection and Affordable Care Act requires individuals to be insured, drop group coverage and let the employee buy their own coverage. –This ignores the fact that it is a cut in pay. Also it doubles the impact with post-tax purchase of coverage. — Also ignores risk of losing the employees.
Costs related to finding the next employee
Recruiter or Human Resource employee time
Background checks and drug testing
Costs of training the new employee
Lower productivity as new hires integrate into the workplace.
Hiring and Retaining
“Presenteeism”- Employees working through an illness and losing productivity
Higher workman’s compensation costs
Fraudulent Monday morning claims
Less incentive to cost shift by employees.
Recruits higher-quality workers when health benefits are put on a job listing.
Retains workers who seek long term employment relationship ( Likely Parents)
Employees with benefits stay longer and reduce the cost of turnover
Health care replacement tends to work against job hopping
Part of an employer’s investment in human capital
Medicaid is a state-operated program that originally was intended to provide critical medical services for highly vulnerable populations. Although the federal government assumes a large share of its financial cost (cost share), Medicaid still accounts for an increasingly significant proportion of state budget expenditures. More than 12 percent of general fund spending was allocated to Medicaid in fiscal year 2010.
– A requirement that individuals have insurance coverage or pay a penalty remains.
– Penalties are relatively modest:
2014 Greater of $95 per person (cap of $ 285 per family) or 1.0% of household income
2015 Greater of $325 per person (cap of $975 per family) or 2.0% of household income
2016 Greater of $695 per person (cap of $2,085 per family) or 2.5% of household income
Continue offering a ” qualified ” health care plan offered through a commercial carrier with the new fees, taxes and rating structures.
Completely discontinue offering medical insurance: no penalties incurred. Hiring and retention may be a consideration.
Purchase the group health insurance through a state exchange. Employer will contribute 50% of the employee premium and employees may be qualified for subsidies for their share.
Qualified association plans may be on the horizon offering medical benefits to its members’ employees.