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Health Reform…Are You a Skeptic?

David P. Lind BenchmarkAs an employer, what do YOU think of health reform? Will it successfully attack rising health insurance rates that you continue to pay year after year? Will the Iowa health insurance exchange in 2014 make any difference for small employers? What about the Supreme Court’s involvement?

Most of these questions (and many others) were asked of Iowa employers in our 2011 Iowa Employer Benefits Study©. So how did they respond? They’re a skeptical bunch.

  • 54 percent either “somewhat agree” or “strongly agree” that the health law should be repealed completely
  • 68 percent at least somewhat agree that the law should be repealed in some parts only, while keeping other parts of the law intact
  • 65 percent believe employer health plan costs with increase because of health care reform
  • Only 17 percent agree that a state-based insurance exchange will keep health insurance rates lower than without health reform (41 percent are unsure)
  • 54 percent believe the provision of the law to require coverage (or pay a fine) should be repealed (also known as the individual mandate)
  • 51 percent want a repeal of the provision that requires employers with over 50 employees to either continue offering coverage or pay an annual penalty of $2,000 per employee.

Iowa employers do, however, support the provision that prohibits insurance companies from denying coverage to individuals due to poor health. I think this is one part of the law that most everyone agrees we should keep…but to do so, insurance companies need the assurance they are covering healthy people too.

All of this leads to the Supreme Court hearing arguments in late March about challenges to this law, specifically the constitutionality of the law’s individual mandate that requires most Americans to obtain health insurance and of provisions requiring states to expand eligibility for their Medicaid programs. Based from the arguments, it is likely the Supreme Court will issue a written opinion before the close of the current term in June, 2012.

STAY TUNED…regardless of the outcome, we will continue to see rising health care costs (and insurance premiums) for the unforeseeable future. Iowa employers have reasons to remain skeptical and apprehensive for the time being.

 

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