7/29/2019 A Seminar on Healthcare Reform

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ASeminaronHealthcareReform

by

Dr.DeisellMar+nez

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Introduc)on

DeisellResearchIns7tuteandConsultantsHealthcareReform:AffordableCareActCountyofSanBernardinoWorkforce

InvestmentBoard

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HealthCareReformBasics

hp://www.deisell.com/#!healthcarereform

ckeq

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TheImpactofHealthCareon

BusinessPerformance

Benefitofofferinghealth

insurance

Createsacompe77veadvantageforrecrui7ng/

hiringqualifiedhuman

resources

Providesstabilityforemployeereten7on

Asmallbusiness

struggle..Recrui7ngReten7on

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SmallBusinessLimita7onson

HealthCareOfferingsItsexpensiveforsmallbusinessestoofferhealth

insurance.

Smallbusinesses

donotofferhealthinsurance.

limitsalariestoofferhealthinsurance.

Asaresult,

smallbusinessesarelesscompe77ve

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EmployeeHealthInsuranceOfferRates

bySizeofFirm

Abigcompaniesadvantageareasmallbusinessstruggle

Company%insuredQualityofinsurance

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WhatisthepurposeoftheHealth

CareReform?Thenumberofinsuredbyexpandingsmallbusinessopportuni7esofprovidinghealthcare.

SmallBusinesses

BigBusinesses

HealthCareOpportuni7es

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SOMEOFTHEFACTS

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KeyImpactontheSelfEmployed

Star7ngJanuary2014,selfemployed

arerequiredtohaveminimumessen7alcoverageorsharefinancialresponsibilityfortheircarewhenfilingtaxes.

willreceiveataxcreditforpurchasinghealthinsurance.

Willhaveaffordableop7onsthroughtheIndividualInsuranceMarketplaces.

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ImpactontheSelfEmployed

Excep)onsinclude:

UnaffordableCoverage

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KeyImpactonBusinesseswith25or

fewerEmployeesFrom2010andupto2013,businesseswith25

orfeweremployees

receivea35%taxcreditforofferinghealthcare.Requirement:averagesalaryunder

$50,000andatleast50%employer

contribu7on

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KeyImpactonBusinesseswith25or

fewerEmployeesStar7ngJanuary2014,businesseswith25

orfeweremployees

receivea50%taxcreditforofferinghealthcare.Requirement:averagesalaryunder$50,000andatleast50%employercontribu7on

willhaveaccesstotheSmallBusinessHealthOp7ons(SHOP):higherqualityop7onsatlowercost

7/29/2019 A Seminar on Healthcare Reform

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KeyImpactonBusinesseswith50or

moreEmployeesStar7ngJanuary2014,businesseswith50

ormoreemployeesarerequiredto

providehealthinsurancetoemployeesandaggregatehealthcarecostsonW2repor7ngto

theIRS

payanassessmentifatleastoneoftheirfull7meemployeesreceivesataxcreditinthe

individualinsuranceMarketplace

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KeyImpactonBusinessesacrossall

businessesStar7ngJanuary2013/2014,businesses

arerequiredtoprovideemployeeswithSummaryofBenefitsandCoverage.

willreceivearebateforunspentpremiumdollars.flexiblespendingaccountcontribu7onswillbecapped

at$2,500forelec7veemployeecontribu7ons.(2013)

Medicarecontribu7onwillincreaseby.9%;employercontribu7onswillnotchange.(2013)

3.8%taxwillbeassessoninvestmentincomesuchascapitalgains,dividends,rents,royal7es.(2013)

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KeyImpactonBusinessesacrossall

businessesStar7ngJanuary2013/2014,businesses

90daymaximumwai7ngperiodforeligibleemployees

Transi7onalreinsuranceprogramfeeswillbeassessedtoemployersfor$5.25amonthperinsuredemployee.Thesewillbetaxcredits.

Taxrebateswillbeavailableforworkplacewellnessprograms.20to30%healthcarecoverageand50%fortobaccoreduc7onprograms.

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ENHANCEBUSINESSPERFORMANCE

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Inadap7ngtothechange,its

importanttoo... beclearonyourfinancialandopera7onal

structure.

establishaclearstrategytomi7gatepoten7allosseswithopera7onalandfinancialrealignment.

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Roadmapforadap7ngtothechange

Selfemployed

Assessbusinessstructure

Developstrategicdevelopmentplan

25/50orlessemployees

Assessfinancial,opera7onalresource

structure

Assessorganiza7onalrolesand

responsibili7eswithclearfunc7on

Developareorganiza7onplanto

leveragehumanresources

50ormoreemployees

Assessfinancial,opera7onalresource

structure

Assessorganiza7onalrolesand

responsibili7eswithclearfunc7on

Developareorganiza7onplanto

leveragehumanresourcesandcomply

withrequirements

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References

1 KaiserFamilyFounda7onandHealthResearchandEduca7onalTrust."EmployerHealthBenefits:2008AnnualSurvey.

2 Theeconomiceffectsofhealthcarereformonsmallbusinesses

andtheiremployeesbytheexecu7veofficeofthepresidentCouncilofEconomicAdvisers.

Link:hp://www.whitehouse.gov/administra7on/eop/cea/HealthCareReformandSmallBusinesses

3 SBA.govU.S.SmallBusinessAdministra7onLink:hp://www.sba.gov/healthcare