What Illinois Healthcare Law Will Mean To Your Business

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]


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”


Agenda

Illinois Small Business Healthcare

State Price Transparency Laws

Small Business Call To Action


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.



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.



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.


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:


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


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.


Illinois Healthcare Cost


Illinois Healthcare Costs


Average Healthcare Cost










What Can I Do ?

Educate Yourself and Your Employees About the new Healthcare Laws

Support Illinois Healthcare SB 34

Small Business Healthcare Consortium


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.


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.


Small Business IT Partners


What Illinois Healthcare Laws Will Mean to Your Business

Q&A


Thank You

Contact Us: Howard Lee Wirehead Technology Tel:312-286-8416 Email:[email protected] Web: www.wireheadtec.com


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