Obamacare Will Increase Health Spending By $7,450 For A Typical Family of Four

It was one of candidate Obama’s most vivid and concrete campaign promises. Forget about high minded (some might say high sounding) but gauzy promises of hope and change. This candidate solemnly pledged on June 5, 2008: “In an Obama administration, we’ll lower premiums by up to $2,500 for a typical family per year….. We’ll do it by the end of my first term as President of the United States.”  Unfortunately, the experts working for Medicare’s actuary have (yet again[1]) reported that in its first 10 years, Obamacare will boost health spending by “roughly $621 billion” above the amounts Americans would have spent without this misguided law.

What this means for a typical family of four

$621 billion is a pretty eye-glazing number. Most readers will find it easier to think about how this number translates to a typical American family—the very family candidate Obama promised would see $2,500 in annual savings as far as the eye could see. So I have taken the latest year-by-year projections, divided by the projected population and multiplied the result by 4.

Simplistic? Maybe, but so too was the President’s campaign promise. And this approach allows us to see just how badly that promise fell short of the mark. Between 2014 and 2022, the increase in national health spending (which the Medicare actuaries specifically attribute to the law) amounts to $7,450 per family of 4. Read more >>

Franchise owners come to Washington to plead for ObamaCare relief

Franchise restaurant owners have come to Washington seeking a change to ObamaCare that they say could prevent them from having to cut their employees’ hours. The healthcare law requires large employers to provide insurance to employees who work at least 30 hours per week.

Franchise owners say the employer mandate threatens to erase their narrow profit margins and are telling lawmakers they need to overhaul the law before it’s too late.

“Employees won’t have the hours they need, and they won’t get employer-sponsored healthcare, either,” said Steve Caldeira, president and CEO of the International Franchise Association (IFA).

“[Franchisees] are dealing with high commodity costs, high energy prices, higher taxes from the ‘fiscal-cliff’ deal, and now they are trying to work through ObamaCare,” he said.

More than 300 members of the franchise association are making the rounds on Capitol Hill to lobby for the ObamaCare changes. Monday’s visitors included IFA members from Mr. Rooter, McDonald’s and Dunkin Donuts. Read more >>

Big insurers ditch Obamacare exchanges

When Americans start shopping on the state-based exchanges next month, a couple of big insurers will likely be MIA.

Several of the larger players, including Aetna, UnitedHealthcare and Cigna, are treading cautiously into Obamacare, waiting to see how the start of the massive health care reform pans out in 2014.

Among the concerns is the fear that unhealthy Americans who previously could not obtain coverage will flood the exchanges and run up large health care bills.

"There are a lot of unknowns of who will actually enroll and what their needs will be," said Christine Monahan, a former senior health policy analyst with Georgetown's Center on Health Insurance Reforms. "A lot of major, for-profit [insurers] have less tolerance for losses and risk."

Aetna has actually pulled out of at least five exchanges after submitting proposals in 14 states. Its policies will not be found on the exchanges in Maryland, New York, Georgia, Ohio or its home state of Connecticut. The insurer recently bought Coventry Health Plans, which had also filed to be on several state exchanges, so Aetna is now reviewing both companies' remaining fillings. Read more >>

Business Owners May Face $100-Per-Day Penalty Under ObamaCare

Small business owners who thought they were off the hook for ObamaCare regulations until 2015 may be in for an expensive wake-up call next month.

Beginning Oct. 1, any business with at least one employee and $500,000 in annual revenue must notify all employees by letter about the Affordable Care Act’s health-care exchanges, or face up to a $100-per-day fine.

The requirement applies to any business regulated under the Fair Labor Standards Act, regardless of size. Going forward, letters are to be distributed to any new hires within 14 days of their starting date, according to the Department of Labor.

Earlier this summer, the employer mandate, which states that every business with at least 50 or more full-time employees must offer workers acceptable coverage or face a $2,000 penalty per-worker, per-year, was pushed back until 2015.

But the Oct. 1 employee-notification deadline stands. Keith McMurdy, partner at FOX Rothschild LLP, says the $100 per-day fine has been “unfortunately overlooked” by many small businesses, and the dollar amount on the penalty comes from the general per-day penalty under the ACA. Read more >>

Citing costs, IBM to move 110,000 retirees off health plan

International Business Machines Corp. plans to move about 110,000 retirees off its company-sponsored health plan and instead give them a payment to buy coverage on a health-insurance exchange, in a sign that even big, well-capitalized employers aren't likely to keep providing the once-common benefits as medical costs continue to rise.

The move, which will affect all IBM retirees once they become eligible for Medicare, will relieve the technology company of the responsibility of managing retirement health-care benefits. IBM said the growing cost of care makes its current plan unsustainable without big premium increases.

IBM's shift is an indication that health-insurance marketplaces, similar to the public exchanges proposed under President Barack Obama's health-care overhaul, will play a bigger role as companies move coverage down the path taken by many pensions, paying employees and retirees a fixed sum to manage their own care. Read more >>

More than 250 employers have cut work hours, jobs to avoid ObamaCare

More than 250 employers have cut work hours, jobs or taken other steps to avoid ObamaCare costs, according to a new IBD analysis.

Mind the data have been the refrain from the White House as it downplays anecdotal reports of employers limiting workers to fewer than 30 hours per week.

But the anecdotes are piling high enough that they now constitute a body of data that can help gauge the impact of the Affordable Care Act's employer mandate.

IBD is introducing ObamaCare Employer Mandate: A List Of Cuts To Work Hours, Jobs — a compilation of employers who have opted to restrict work hours to limit new liability for employee health coverage.

As of Sept. 3, this list has reached 258 — including more than 200 public-sector employers.
Almost all of those employers have cut the hours of part-time workers to below 30 per week — the point at which ObamaCare's insurance mandate kicks in.

A few have cut payrolls to steer clear of ObamaCare's 50 full-time-equivalent-worker definition of a large employer subject to employer fines. A few others have reduced staff while contracting with employment services firms to limit their ObamaCare exposure. Read more >>

IRS issues final rules on Obamacare's 'individual mandate'

A centerpiece of Affordable Care Act, also known as Obamacare, is a requirement that all individuals carry some minimum health insurance or pay a tax. The new system aims to provide insurance through state marketplaces and subsidies for tens of millions of Americans who lack it.

If individuals choose not to carry insurance, they are subject to a penalty, starting at $95 per person per year or 1 percent of income in 2014, whichever is greater, and eventually reaching $695 per person or 2.5 percent of income by 2016.

The IRS, which is administering parts of the law involving revenue collection, released the final rules spelling out the details of what constitutes minimum essential coverage, and how individuals are responsible for spouses, children and other dependents, among other topics.

The individual mandate is distinct from the employer mandate, which imposes a fee on most large employers that do not offer a minimum level of coverage. The Administration delayed that provision, putting off the effective date until 2015. Read more >>

Obamacare forces most Charlottesville, Va., firms to go part-time

An influential Charlottesville, Va., money management team claims that Obamacare has forced many firms in Thomas Jefferson's hometown to switch to part-time workers, and that one manager was told he'd be fired if he hired a 50th full-time worker, the number that triggers the costly health care system.

"Economic self-defense has many firms forcing their employees to work less than 30 hours a week regardless of their preference or availability. This trend seems to be universal even here in Charlottesville," David John Marotta and Megan Russell of Marotta Wealth Management said in an online memo to investors. The firm handles many Charlottesville investors.

They added: "We hesitate to name all the businesses in town that are cutting employee hours below 30. Even though the list includes almost all major franchises, most firms have been smart enough to keep the changes as quiet as possible." The reason: "The backlash and boycotts have been harsh and vitriolic from liberals."

Nonetheless, firms have been just as tough on managers in Charlottesville, ordering those that run smaller companies to keep hours and full-time workers below the Obamacare base level of 50. Going over 50 means firms will either have to start offering health insurance or pay a significant fine. Read more >>

UPS to drop 15,000 spouses from insurance, cites Obamacare

United Parcel Service Inc. plans to remove thousands of spouses from its medical plan because they are eligible for coverage elsewhere. The Atlanta-based logistics company points to the Affordable Care Act, or Obamacare, as a big reason for the decision, reports Kaiser Health News.

The decision comes as many analysts are downplaying the Affordable Care Act's effect on companies such as UPS, noting that the move reflects a long-term trend of shrinking corporate medical benefits, Kaiser Health News reports. But UPS repeatedly cites Obamacare to explain the decision, adding fuel to the debate over whether it erodes traditional employer coverage, Kaiser says.

Rising medical costs, “combined with the costs associated with the Affordable Care Act, have made it increasingly difficult to continue providing the same level of health care benefits to our employees at an affordable cost,” UPS said in a memo to employees. Read more >>

Obamacare Strikes - Forever 21 Cuts Employees' Hours

The predictions and fears of the Affordable Care Act’s adversaries have begun to materialize, specifically fears that the law will encourage employers to demote their employees to part-time positions in order to evade federal health care requirements. Popular clothing company Forever 21 is the first of what might be many companies to limit its non-management workers’ hours to 29.5 a week, just below the 30-hour minimum that the ACA deems full-time work.

Explaining that the company “recently audited its staffing levels, staffing needs, and payroll in conjunction with reviewing its overall operating budget,” Associate Director of Human Resources Carla Macias informed employees that effective August 31, they will no longer be full-time employees of Forever 21.

It is a move that will likely harm the reputation of the company, will absolutely harm the economic circumstances of its employees, and will function as a tangible example of the Affordable Care Act’s consequences and shortcomings.

Although the ethical nature of Forever 21’s decision is debatable, it is both rational and understandable. A company that boasts regularly low prices and frequent, sensational sales, Forever 21's competitive success is largely dependent upon its ability to maintain low manufacturing and operational costs. The ACA is an undeniable burden on this principle, and Forever 21’s management has the prerogative to take any legal measures necessary to avoid raising the costs of its products. Read more >>

Uninsured next year? Here's your Obamacare penalty

NEW YORK (CNNMoney)
Thinking of ignoring the Obamacare mandate to get health insurance next year? It could cost you. To try to ensure that people sign up for coverage, the Affordable Care Act carries complex penalties for those who remain uninsured that could cost them hundreds, or even thousands of dollars. Some 6 million people could be hit with these fines in 2016, forking $7 billion over to the federal government, according to the Congressional Buget Offfice.

Here's how the penalties will work: Uninsured adults will either pay a flat fee for themselves and their children or pay a share of their income, whichever is greater. The penalty is pro-rated if people have coverage for part of the year, and they won't be liable if they lack coverage for less than a three-month period during the year.

The penalties start relatively small, but ramp up within a few years. But there is a limit. They cannot exceed the national average premium for bronze coverage -- the cheapest plan tier -- in the state-based exchanges.

For 2014, the flat fee is $95 per adult and $47.50 per child, up to $285 per family. Or the penalty could be 1% of family income, if that results in a larger fine. (Income is defined as total income above the filing threshold, which is $10,000 for an individual and $20,000 for a family in 2013.)

So a person making $50,000 would be subject to a $400 penalty, while a couple earning that amount would each pay $300. Read more >>

Cost of health care to rise 72% in Indiana

Get ready to shell out more money for individual health insurance under Obamacare ... in some states, that is.

While many residents in New York and California may see sizable decreases in their premiums, Americans in many places could face significant increases if they buy insurance through state-based exchanges next year.

That's because these people live in states where insurers were allowed to sell bare-bones plans and exclude the sick, which has kept costs down. Under Obamacare, insurers must offer a package of essential benefits -- including maternity, mental health and medications -- and must cover all who apply. But more comprehensive coverage may lead to more expensive insurance plans.

Under Obamacare, all Americans must have insurance coverage starting in 2014 or face penalties of $95 or 1% of family income, whichever is greater. Enrollment in the exchanges begins October 1, with coverage kicking in in January. Plans will come in four tiers, ranging from bronze to platinum. Read more >>

Taxpayers to foot bill for congressional health care

The White House has approved a deal that will exempt members of Congress and their staff from some of the provisions of the Affordable Care Act, Politico reported late Thursday.

Under the law, popularly referred to as Obamacare, lawmakers and their aides were required to source health insurance "created" by the law or offered through one of its exchanges, and without the subsidies they currently enjoy, the members of Congress would have faced thousands of dollars in additional premium payments each year, the report said.

However, the Office of Personnel Management now plans to rule that the government can continue to make a contribution to the health-care premiums of the lawmakers and their staff, it said, citing unnamed congressional sources and a White House official. Read more >>

74% of small businesses will fire workers, cut hours under Obamacare

Despite the administration's controversial decision to delay forcing companies to join Obamacare for a year, three-quarters of small businesses are still making plans to duck the costly law by firing workers, reducing hours of full-time staff, or shift many to part-time, according to a sobering survey released by the U.S. Chamber of Commerce.

"Small businesses expect the requirement to negatively impact their employees. Twenty-seven percent say they will cut hours to reduce full time employees, 24 percent will reduce hiring, and 23 percent plan to replace full time employees with part-time workers to avoid triggering the mandate," said the Chamber business survey provided to Secrets.

Under Obamacare, just 30 hours — not the nationally recognized 40 hours — is considered full-time. Companies with 50 full-time workers or more are required to provide health care, or pay a fine.

The administration recently decided to wait a year before businesses had to comply, but many are trying to get ready anyway. The president did not delay the mandate that Americans must have health insurance or pay a fine, however. Read more >>

House votes to repeal ObamaCare in 229-195 vote

The Republican-led House has voted, for the 37th time, to repeal President Obama’s health care law, even though GOP lawmakers know the Senate will not follow suit.  The repeal passed on a 229-195 vote.

All Republicans voted to repeal, while all but two Democrats voted no. They were Reps. Mike McIntyre, D-N.C., and Jim Matheson, D-Utah, two of the most conservative Democrats in the House.

Democrats have called efforts to de-fund or partly scale back the Affordable Care Act a waste of time -- even an obsession.

But Republicans see a political advantage to keeping the pressure up as the administration tries to get all the moving parts of the law working in the next few months. They're hoping that problems with its implementation will help them recapture the Senate in next year's midterm elections. Read more >>

Who will pay more under Obamacare? Young men

The Obama administration says the Affordable Care Act will provide cheaper health insurance for millions of Americans. But some people, particularly young men who aren't insured through their employers, could see their premiums go up once coverage in the state-based insurance exchanges begins in January.

Many groups have come out with reports forecasting what will happen to premiums, on average, next year. But just what folks will pay for insurance on the individual market depends on a variety of factors. They include the enrollee's income, age, gender, current coverage level and state of residence.

"The average isn't very relevant to any particular person," said Jim O'Connor, principal at consulting firm Milliman, who authored a report on how "Obamacare" will affect premiums. The exact cost of plans likely won't be known until the summer, at the earliest -- and possibly not until the exchanges open for enrollment in October. Insurers have already submitted their proposals to state officials, and regulators are now reviewing them. But it is up to each state to decide when to release the plan specifics. Read more >>

Hypocritical Lawmakers, aides may get Obamacare exemption

Congressional leaders in both parties are engaged in high-level, confidential talks about exempting lawmakers and Capitol Hill aides from the insurance exchanges they are mandated to join as part of President Barack Obama’s health care overhaul, sources in both parties said.

The talks — which involve Senate Majority Leader Harry Reid (D-Nev.), House Speaker John Boehner (R-Ohio), the Obama administration and other top lawmakers — are extraordinarily sensitive, with both sides acutely aware of the potential for political fallout from giving carve-outs from the hugely controversial law to 535 lawmakers and thousands of their aides. Discussions have stretched out for months, sources said.

A source close to the talks says: “Everyone has to hold hands on this and jump, or nothing is going to get done.” Yet if Capitol Hill leaders move forward with the plan, they risk being dubbed hypocrites by their political rivals and the American public. By removing themselves from a key Obamacare component, lawmakers and aides would be held to a different standard than the people who put them in office. Read more >>

Obamacare causes spike in health insurance scams

Law enforcement agencies are reporting a spike in health insurance scams across the country, many of which are preying on the public's confusion over the massive changes taking place in the nation's health care system.

One recent morning, 86-year-old Evelyne Lois Such was sitting at her kitchen table in Denver when the phone rang.  She didn’t recognize the phone number or the deep voice on the other end of the line. “He asked if I was a senior, and I said yes, and he said we are sending out all new Medicare cards and I want to make sure I have all of your statistics correct,” Such recounts.

At first, the caller didn’t seem too fishy; he started by running through her address and phone number, just to make sure they were right. But then he read off a series of numbers and asked if it was her bank routing number. “I didn’t know really at the time whether it was or not, but I just said no. He said, well could you give it to me so I’ll have it correctly, and I said, well I’m not so sure about that. And he started to say something and I hung up.” Read more >>

Employers Blast Fees From New Health Law

Employers are bracing for a little-noticed fee in the federal health-care law that will charge them $63 for each person they insure next year, one of the clearest cost increases companies face when the law takes full effect.

Companies and other plan providers will together pay $25 billion over three years to create a fund for insurance companies to offset the cost of covering people with high medical bills.

The fees will hit most large U.S. employers, and several have been lobbying to change the program, contending the levy is unfair because it subsidizes individually purchased plans that won't cover ... Read more >>

The hidden tax Washington doesn't want you to know

Okay, middle-class taxpayers: Listen up. Our national government in Washington is screwing you again. This time the screwing involves the way that two new income tax surcharges, supposedly designed to affect only the "rich," will reach deeper and deeper into the middle class unless something is done now to rein them in.

I'm talking about the 0.9% tax surcharge on the amount by which individuals' "earned income" -- such as salaries and fees -- exceeds $200,000 this year, and the 3.8% surcharge on some or all the investment income of single households with an adjusted gross income of more than $200,000, and married households with an adjusted gross of $250,000 and up.

These surcharges were built into the Affordable Care Act (a.k.a. Obamacare). The screwing isn't the tax surcharges themselves -- it's the fact that the thresholds for them aren't indexed for inflation. This means that unless something is done, more and more people will be subject to these taxes as inflation boosts incomes.
Read more >>