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North Bay Business Journal

Wednesday, November 14, 2012, 5:00 am

Share your thoughts: Affordable Care Act changing your company’s staffing?

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    NBBJ Pulse Poll

    Is your company changing its staffing levels or structure in response to the Patient Protection and Affordable Care Act, aka Obamacare?

    • Yes (45%, 10 votes)
    • No (45%, 10 votes)
    • Don't know (10%, 2 votes)

    Total voters: 22
    Polling period: November 14, 2012 @ 12:05 am – November 20, 2012 @ 12:00 pm

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    This NBBJ Pulse Poll ends Nov. 20.

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    Have more to say? Use the comments form below.

    As a result of health overhaul, hospitals across the country are bracing for significantly lower reimbursement rates from the federal government for Medicare patients, a development that is forcing large health systems to reevaluate their care models and prompting a palpable shift toward more integrated care.

    Employers, meanwhile, face a host of complex issues themselves. With state and federal health exchanges — where both employer groups and individuals will be able to shop for what is hoped to be more affordable health coverage with government subsidies — coming online in the next two years, will those same employers drop health coverage for employees? And if so, will those employees be able to obtain affordable, quality coverage?

    “This is a primary question that most benefits broker lose sleep over,” said David Hodges, vice president at Vantreo Insurance Brokerage. “The over-burdensome administration of the ACA will lead some small employers with low profit margins and mid-sized employers with easily replaceable, non-highly skilled workers to cancel health insurance.”

    Similarly, health plans are shifting quickly, often aligning themselves directly with providers to form accountable care organizations, better known as ACOs, or ACO-type structures to prevent costly duplication and more streamlined care.  The impact of such structures is not yet known, providers and health plans said, but it’s nevertheless a reality that is emerging on both a local and national level.

    And new forms of technology — such as the continued march toward electronic health records — are impacting health care delivery across the country, but concerns center on patient privacy and a host of other issues.

    Read more analysis of the health care law from Mr. Hodges and other major figures in North Bay health care and insurance in the Nov. 12 issue of the Business Journal.

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    Comments

    2 Comments

    1. November 14, 2012, 12:30 pm

      by Beverly Roush

      So, what good is health insurance with no job? We have over 50 employees so we are lumped together with Microsoft, General Motors and the airlines. We cannot afford to furnish healthcare for 100+ employees, so we may have to start laying off or declare bankruptcy during 2013. We are barely making our payroll now and there is definitely no incentive to expand. If this is forward, I’d rather go back. Who decided that “small business” was under 50 employees? Obviously, someone who has never run a business.


    2. July 10, 2013, 9:08 pm

      by Mary

      Our employer/owner will pay the fine before he gives his employees anything at all, even the optunity to buy in. I’ll be purchasing my own Covered Caiforina policy in January. Why would I wait for something that for me, from my experience of working for this man, will never come to pass.

      Beverly, don’t you wonder why companies, when I was a child, had full health care coverage for the employees entire family and could still turn a profit. You tell me why you can’t afford it. That’s all you owners say, “we can’t afford it” while you can afford a driver and a limo every day of your life. Or at least my owner can. He can give his daughter a 750 thousand dollar wedding but cant give us a 25 cent raise every year.


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