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Health Care Reform
     Obamacare

  Juliana Thompson
       GBS 221
Health Insurance Topics

• Obamacare
• Company reactions
• Possible results
“Health Insurance in America: The Insured and the Unsure” Obama Said…

“IF YOU like
your health-
care plan, you
can keep your
health-care
plan.”
Firms Question…
• Will firms keep company healthcare?
• Will firms give a stipend for private health?
• Will firms make employees pay more?
Facts
• Obamacare begins January 1, 2014
• Today 150 million Americans get health
  benefits.
• Post WWII era, tax-free employer
  healthcare
• Wage freeze
Facts
• Healthcare: doubled in last 10 yrs
• Costs employer $15,745 a year to cover
  employee with family.
Facts
• Incomes of 100-400% of poverty qualify
  for state subsidies
• Companies may drop coverage
  – the state can cover healthcare
• $2000 per person company fine
Drop Healthcare
   in 5 Years
• Small companies
  may drop medical
  insurance
• Small – 21%
• Medium – 8%
• Large – 5%
McKinsey Study
• 2011 - 30% of employers would drop
  insurance after 2014
• If the company understands health
  reform - over 50% would drop insurance
Deloitte Study
• 9% of employers will drop coverage in 3
  years
Defined Contribution
• Company pays employee a fixed sum for
  private insurance.
• Similar to fixed pension
• A predictable cost for employer
• Encourages workers to take control of their
  own health
  – lose weight or quit smoking
Defined Contribution
• All companies
  consider this option.
• Small – 45%
• Medium – 38%
• Large – 32%
Workers Spend More on Health
• Overprescribing: “My insurance will
  cover it.”
• Mercer - 43% of employers expect
  workers to pay more in 2013
• 60% of Big companies willing to have
  employees spend more
Workers Spend More
• Large companies
  prefer to shift costs
  to workers
• Small – 43%
• Medium – 59%
• Large – 68%
Expectations
• Employees will become healthier to
  minimize costs
• Delay seeing doctor
• Avoid doctor
Conclusion
• Spending more on health
• Increased responsibility on health users

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Health care reform

  • 1. Health Care Reform Obamacare Juliana Thompson GBS 221
  • 2. Health Insurance Topics • Obamacare • Company reactions • Possible results
  • 3. “Health Insurance in America: The Insured and the Unsure” Obama Said… “IF YOU like your health- care plan, you can keep your health-care plan.”
  • 4. Firms Question… • Will firms keep company healthcare? • Will firms give a stipend for private health? • Will firms make employees pay more?
  • 5. Facts • Obamacare begins January 1, 2014 • Today 150 million Americans get health benefits. • Post WWII era, tax-free employer healthcare • Wage freeze
  • 6. Facts • Healthcare: doubled in last 10 yrs • Costs employer $15,745 a year to cover employee with family.
  • 7. Facts • Incomes of 100-400% of poverty qualify for state subsidies • Companies may drop coverage – the state can cover healthcare • $2000 per person company fine
  • 8. Drop Healthcare in 5 Years • Small companies may drop medical insurance • Small – 21% • Medium – 8% • Large – 5%
  • 9. McKinsey Study • 2011 - 30% of employers would drop insurance after 2014 • If the company understands health reform - over 50% would drop insurance
  • 10. Deloitte Study • 9% of employers will drop coverage in 3 years
  • 11. Defined Contribution • Company pays employee a fixed sum for private insurance. • Similar to fixed pension • A predictable cost for employer • Encourages workers to take control of their own health – lose weight or quit smoking
  • 12. Defined Contribution • All companies consider this option. • Small – 45% • Medium – 38% • Large – 32%
  • 13. Workers Spend More on Health • Overprescribing: “My insurance will cover it.” • Mercer - 43% of employers expect workers to pay more in 2013 • 60% of Big companies willing to have employees spend more
  • 14. Workers Spend More • Large companies prefer to shift costs to workers • Small – 43% • Medium – 59% • Large – 68%
  • 15. Expectations • Employees will become healthier to minimize costs • Delay seeing doctor • Avoid doctor
  • 16. Conclusion • Spending more on health • Increased responsibility on health users