Health Care Reform in America Review of Status and Related Issues

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Health Care Reform in America Review of Status
and Related Issues
Patrick Carragher Vice President Benefits,
CheckPoint HR Rachel Smith Corporate
Communications, Martin Financial Group
P A Y R O L L
H R M S
B E N E F I T S
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Presidential Address

• Main Objectives of Reform
• Funding 900 Billion (10 Years)
• No Impact on Deficit
• Public Plan Alternatives Co-Ops, Triggers
• Malpractice Reform

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Plan Alternatives

• Small Employer
• Current Plan
• Employer-Sponsored Plan Chosen from Exchange
• No Plan Employees Shop Exchange for Plan and
  Employer Pays Up to 8 of Payroll
• EXCEPTION Employers with Less Than 250K
  Payroll or With 25 or Less Employees
• No Plan Employees Shop Exchange for Plan
• Employer-Sponsored Plan Employer Can Receive
  Tax Credits

• Medium/Large Employer
• Current Plan
• No Specific Proposal for When/If Larger
  Employers are Eligible to Shop Exchange

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Pre-Existing Condition
A health condition or illness that you had before
obtaining insurance.

• LOOK-BACK PERIOD
• WAITING PERIOD
• Waived/Reduced If No Break In Coverage
• HIPPA Limits Waiting Period (12 to 18 Months)
• NJ Small Employers Shorter Waiting Period
  (Late Enrollee)
• ISSUES
• No Coverage for Condition During Wait Period

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Financial Impact
Do Reform Proposals Make Insurance More
Affordable???

• TO BE FUNDED
• Expansion in Medicaid
• Premium Subsidies
• POSSIBLE TRICKLE-DOWN EXPENSES NEW FEES
• Insurers, Drug Makers, Medical Device Makers
• Premiums, Drug Costs, Device Costs

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Employers

• Smaller Employers Decision to Provide Coverage
• Exemption
• Tax Credits
• Medium-Sized Employers Decision to Provide
  Coverage or Pay Fee
• Is 8 of Payroll More Costly Than Providing
  Coverage?
• Employee Satisfaction and Retention

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