Download - A Seminar on Healthcare Reform
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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
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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