This presentation is part of the Seminar that was given at Weiss Memorial Hospital April, 17 2013

1. What the Illinois Healthcare Laws
Will Mean to Your Business
Wirehead Technology 2013

2. What the Illinois Healthcare
Laws Will Mean to Your Business
Howard Lee
CIO
Wirehead Technology
312-286-8416
wireheadtec@gmail.com
Wirehead Technology 2013

3. Introduction
Wirehead Technology Mobile IT consulting company [started as
Technocrats Consulting 2001]. Headquarters in Chicago, IL
Mobile IT application software development MERP [Mobile
Enterprise Resource Planning] consulting services

2009: Article Enterprise Management Quarterly "Is Your Mobile
Guru Costing You Money"

2008: Article: Enterprise Management Quarterly "How to Plan a
MERP network

2003: Member of VAR Business Magazine CMP Solution
Provider Board

2002: Provided hybrid WIFI System to Chicago Public School.
This was used by Proxim Technology as Case Study and profiled
on CBS News and two technical publications.

2002: National Medical Association: Speaker Using mobile
technology in Healthcare

2001: DCI Wireless Expo: Speaker Using mobility in the
“Looking Beyond the Mobile Device
enterprise To Create Solutions”

2001: Co-authored Handheld Application Guide with
Synchrologic Inc.

1998: Developed CE InSight mobile training application
Wirehead Technology 2013

4. Agenda

Illinois Small Business
Healthcare

State Price Transparency
Laws

Small Business Call To Action
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5. Facts About Small Business Healthcare Laws

Small business tax credits for eligible employers who enroll in health
insurance coverage through the Small Business Health Options Program
(SHOP).

Illinois small business owners hear more about the healthcare law, their
support for keeping it intact—either as is or with minor changes—rises to
68%,while the desire for it to be overturned drops to 14%. Moreover,
entrepreneurs strongly support most of its key provisions affecting small
business owners.

A strong 73% of owners say they would use their state exchange or at least
consider using it, compared to only 5% who say they would not consider
using it when they provide benefits. The majority of entrepreneurs find
possible features of the exchange very appealing, and 70% support Illinois
applying for federal funds to set one up.
Wirehead Technology 2013

6. Facts About Small Business Healthcare Laws

Furthermore, a 52% majority of entrepreneurs report they’d be more likely to
purchase insurance through the exchange if, in 2014, the small business tax
credit is available only to those using the exchange. That’s more than three times
the number (15%) who say they’d be less likely to purchase from the exchange.
Of respondents who fall into the basic qualification parameters for the tax credit,
39% are already taking advantage of it. Of eligible employers who aren’t claiming
it, 35% say it’s because they’re not sure whether their business qualifies. And,
64% of entrepreneurs say that if their company qualified for the credit, they would
be more likely to provide or continue providing healthcare to employees.

Nearly six in 10 owners who don’t offer coverage to employees say cost is the
biggest barrier: Of small business owners who do not provide coverage for
employees, 59% report their business cannot afford it. Another 31% of
respondents say their employees get coverage elsewhere.
Wirehead Technology 2013

7. Facts About Small Business Healthcare Laws

159,900 Illinois small businesses are eligible (78.5% of all IL businesses); 48,400
businesses eligible for the maximum credit
Requires insurers to spend at least 80% of small groups’ premium expenses on
medical claims and quality improvement.• Limits administrative and profit costs to 20%
of premiums collected.• If carriers exceed this, they must make up for it by giving back
rebates for the difference.• An estimated $1.1B will be given back in 2012 (HHS)•
Nationally:Average rebate per enrollee in a small group plan: $76 Total rebates:
$377M in the small group market, 28% of all small employer plans• Illinois:Total
rebates: $61M, an average of $380 for the 163,000 families in Illinois covered by a
policy.
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8. Healthcare Essential Benefits

The Affordable Care Act
ensures Americans have
access to quality, affordable
health insurance. To achieve
this goal, the law ensures that
health plans offered in the
individual and small group
markets, both inside and
outside of Health Insurance
Marketplaces, offer a core
package of items and services,
known as “essential health
benefits.” Under the statute,
EHB must include items and
services within at least the
following 10 categories:
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9. Healthcare Essential Benefits

Ambulatory patient services

Emergency services

Hospitalization

Maternity and newborn care

Mental health and substance use disorder services, including
behavioral health treatment

Prescription drugs

Rehabilitative and habilitative services and devices

Laboratory services

Preventive and wellness services and chronic disease
management

Pediatric services, including oral and vision care
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10. State Price Transparency Laws

Healthcare cost has been the major
concern of business in Illinois. But
containing healthcare has been difficult.
When most healthcare providers prices are
not known until service are done. Two new
reports One from Catalyst for Payment
Reform and the Health Care Incentives on
State Laws on Healthcare Price
Transparency Disclosures give most states
a C- minus or below on providing healthcare
prices.

The next report from International
Federation of Healthcare Plans compares
the prices in the U.S. To that of other
industrialized countries with U.S.
Healthcare being higher than any other
country.
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11. Illinois Healthcare Cost
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12. Illinois Healthcare Costs
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13. Average Healthcare Cost
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14. Average Healthcare Cost
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15. Average Healthcare Cost
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16. Average Healthcare Cost
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17. Average Healthcare Cost
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18. What Can I Do ?

Educate Yourself and
Your Employees
About the new
Healthcare Laws

Support Illinois
Healthcare SB 34

Small Business
Healthcare
Consortium
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19. HEALTH INSURANCE
MARKETPLACE LAW of 2013

Intent: establishment of an Illinois Health Insurance
Marketplace (Exchange) to facilitate the purchase and
sale of qualified health plans and dental plans in the
individual market, and to provide for the establishment
of a Small Business Health Options Program to assist
qualified small employers in facilitating the enrollment
of their employees in qualified health plans and dental
plans offered in the small group market. It is estimated
that more than one million Illinoisans will be eligible for
the Illinois Marketplace.
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20. What is the Small Business Health Care Consortium?
We are a new, tax-exempt non-partisan coalition of small businesses that
serves to...
enable the collective voice of small businesses to

have a direct impact on controlling health care costs in Illinois.

educate about the impact of health reform, control the excesses of the health
insurance industry and improve transparency.

encourage small business friendly health reform legislation and regulations.

represent the broad diversity of small businesses throughout the state.

foster health reform changes that enable more small businesses and their
employees to access affordable health insurance.
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21. Small Business IT Partners
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22. What Illinois Healthcare Laws Will
Mean to Your Business
Q&A
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23. Thank You

Contact Us:

Howard Lee

Wirehead Technology

Tel:312-286-8416

Email:wireheadtec@gmail.com

Web: www.wireheadtec.com
Wirehead Technology 2013