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This presentation is part of the Seminar that was given at Weiss Memorial Hospital April, 17 2013
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What the Illinois Healthcare Laws Will Mean to Your Business
Wirehead Technology 2013
What the Illinois HealthcareLaws Will Mean to Your Business
Howard LeeCIOWirehead [email protected]
Wirehead Technology 2013
Introduction Wirehead Technology Mobile IT consulting company [started as Technocrats Consulting 2001]. Headquarters in Chicago, ILMobile IT application software development MERP [Mobile Enterprise Resource Planning] consulting services 2009: Article Enterprise Management Quarterly "Is Your Mobile Guru Costing You Money"2008: Article: Enterprise Management Quarterly "How to Plan a MERP network 2003: Member of VAR Business Magazine CMP Solution Provider Board 2002: Provided hybrid WIFI System to Chicago Public School. This was used by Proxim Technology as Case Study and profiled on CBS News and two technical publications. 2002: National Medical Association: Speaker Using mobile technology in Healthcare 2001: DCI Wireless Expo: Speaker Using mobility in the enterprise 2001: Co-authored Handheld Application Guide with Synchrologic Inc.1998: Developed CE InSight mobile training application
“Looking Beyond the Mobile Device To Create Solutions”
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Agenda
Illinois Small Business Healthcare
State Price Transparency Laws
Small Business Call To Action
Wirehead Technology 2013
Facts About Small Business Healthcare Laws
Small business tax credits for eligible employers who enroll in health insurance coverage through the Small Business Health Options Program (SHOP).
Illinois small business owners hear more about the healthcare law, their support for keeping it intact—either as is or with minor changes—rises to 68%,while the desire for it to be overturned drops to 14%. Moreover, entrepreneurs strongly support most of its key provisions affecting small business owners.
A strong 73% of owners say they would use their state exchange or at least consider using it, compared to only 5% who say they would not consider using it when they provide benefits. The majority of entrepreneurs find possible features of the exchange very appealing, and 70% support Illinois applying for federal funds to set one up.
Wirehead Technology 2013
Facts About Small Business Healthcare Laws
Furthermore, a 52% majority of entrepreneurs report they’d be more likely to purchase insurance through the exchange if, in 2014, the small business tax credit is available only to those using the exchange. That’s more than three times the number (15%) who say they’d be less likely to purchase from the exchange. Of respondents who fall into the basic qualification parameters for the tax credit, 39% are already taking advantage of it. Of eligible employers who aren’t claiming it, 35% say it’s because they’re not sure whether their business qualifies. And, 64% of entrepreneurs say that if their company qualified for the credit, they
would be more likely to provide or continue providing healthcare to employees. Nearly six in 10 owners who don’t offer coverage to employees say cost is the
biggest barrier: Of small business owners who do not provide coverage for employees, 59% report their business cannot afford it. Another 31% of respondents say their employees get coverage elsewhere.
Wirehead Technology 2013
Facts About Small Business Healthcare Laws
159,900 Illinois small businesses are eligible (78.5% of all IL businesses); 48,400 businesses eligible for the maximum credit
Requires insurers to spend at least 80% of small groups’ premium expenses on medical claims and quality improvement.• Limits administrative and profit costs to 20% of premiums collected.• If carriers exceed this, they must make up for it by giving back rebates for the difference.• An estimated $1.1B will be given back in 2012 (HHS)• Nationally:Average rebate per enrollee in a small group plan: $76 Total rebates: $377M in the small group market, 28% of all small employer plans• Illinois:Total rebates: $61M, an average of $380 for the 163,000 families in Illinois covered by a policy.
Wirehead Technology 2013
Healthcare Essential Benefits The Affordable Care Act
ensures Americans have access to quality, affordable health insurance. To achieve this goal, the law ensures that health plans offered in the individual and small group markets, both inside and outside of Health Insurance Marketplaces, offer a core package of items and services, known as “essential health benefits.” Under the statute, EHB must include items and services within at least the following 10 categories:
Wirehead Technology 2013
Healthcare Essential Benefits Ambulatory patient services
Emergency services
Hospitalization
Maternity and newborn care
Mental health and substance use disorder services, including behavioral health treatment
Prescription drugs
Rehabilitative and habilitative services and devices
Laboratory services
Preventive and wellness services and chronic disease management
Pediatric services, including oral and vision care
Wirehead Technology 2013
State Price Transparency Laws Healthcare cost has been the major
concern of business in Illinois. But containing healthcare has been difficult. When most healthcare providers prices are not known until service are done. Two new reports One from Catalyst for Payment Reform and the Health Care Incentives on State Laws on Healthcare Price Transparency Disclosures give most states a C- minus or below on providing healthcare prices.
The next report from International Federation of Healthcare Plans compares the prices in the U.S. To that of other industrialized countries with U.S. Healthcare being higher than any other country.
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Illinois Healthcare Cost
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Illinois Healthcare Costs
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Average Healthcare Cost
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Average Healthcare Cost
Wirehead Technology 2013
Average Healthcare Cost
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Average Healthcare Cost
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Average Healthcare Cost
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What Can I Do ?
Educate Yourself and Your Employees About the new Healthcare Laws
Support Illinois Healthcare SB 34
Small Business Healthcare Consortium
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HEALTH INSURANCE MARKETPLACE LAW of 2013
Intent: establishment of an Illinois Health Insurance Marketplace (Exchange) to facilitate the purchase and sale of qualified health plans and dental plans in the individual market, and to provide for the establishment of a Small Business Health Options Program to assist qualified small employers in facilitating the enrollment of their employees in qualified health plans and dental plans offered in the small group market. It is estimated that more than one million Illinoisans will be eligible for the Illinois Marketplace.
Wirehead Technology 2013
What is the Small Business Health Care Consortium?We are a new, tax-exempt non-partisan coalition of small businesses that serves to...
enable the collective voice of small businesses to have a direct impact on controlling health care costs in Illinois.
educate about the impact of health reform, control the excesses of the health insurance industry and improve transparency.
encourage small business friendly health reform legislation and regulations.
represent the broad diversity of small businesses throughout the state.
foster health reform changes that enable more small businesses and their employees to access affordable health insurance.
Wirehead Technology 2013
Small Business IT Partners
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What Illinois Healthcare Laws Will Mean to Your Business
Q&A
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Thank You
Contact Us: Howard Lee Wirehead Technology Tel:312-286-8416 Email:[email protected] Web: www.wireheadtec.com
Wirehead Technology 2013