When Bill Clinton spoke about the ACA, (more commonly known as ObamaCare) during the 2016 presidential election, he said: “You’ve got this crazy system where all the sudden, 25 million more people have healthcare and then the people are out there busting it, sometimes 60 hours a week, wind up with their premiums doubled and their coverage cut in half,” Clinton said. “It’s the craziest thing in the world,” He wasn’t far off.
Political opinions set aside, the ACA overturned an entire industry and now California businesses and professionals are in still in a state of uncertainty, as they await the outcomes of legislative issues pending before federal and state levels:
What Does 2018 Hold For Employee Benefits?
The American Health Care Act (AHCA), or “TrumpCare”, would overturn and relax many if the mandates, reporting and plan designs of the ACA. While there is much left to be negotiated and detailed before we have a change in Federal law, the basics of AHCA are now widely known. In anticipation of these changes, carriers in California have filed several sets of rates for 2017, in anticipation of the law passing and potential overturn of the ACA.
Many states across the nation are facing a challenge with a single, or in some counties, even no choices with respect to carriers. Individual markets are challenged with rising premiums and carriers pulling participation. In spite of the multiple attempts to overturn it, the ACA is still the law of the land.
More Healthcare Uncertainty: Single Payer for California?
The State of California has their own (mysterious) plan: a proposed $400 billion dollar single-payer plan, that would take the place of all federal and state run healthcare systems, including Medicare and MediCal. It’s currently making its way through the State Assembly, and has a long way to go before it becomes law, including a funding structure for the plan’s expense.
With all of this potential upheaval, in the meantime the status quo will continue – plans will change/adapt each year to adjust to the ACA’s annual increases in out-of-pocket costs, rates for individuals will continue to be in flux, companies with 50 or more employees will need robust systems to allow them to comply and report to IRS, and companies will need to continue to manage their healthcare care expenses. Balancing the challenges of rewarding and engaging employees, while managing their bottom line, in an increasingly complex and changing regulatory landscape for all industries.
Health care in the USA, or California, won’t be solved by any one piece of legislation, and will remain a complex task for all participants. CorpStrat is dedicated to helping our clients address the challenges of delivering the most effective employee benefits strategies and products, and to help them deploy integrated solutions for payroll, benefits, HR, and compliance.