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Dealing with health care for businesses is more than just a numbers game.
They got to face some tough decisions and -- to mail its head of munch heart health care practice and he joins us now from Houston Chris.
Thanks for joining us.
What -- like two or three of the most important things you can tell business people out there watching right now what they gotta do it to adjust.
-- -- Issue number one the most important things to be aware of the new regulations that are coming out there's going to be hundreds of patient pages -- Regulations between now and the end of the first quarter you're gonna need to know those rules because those rules will fill in the gaps that the obamacare legislation left out.
Those rules -- tell you how to calculate full time employees.
-- provide notice to those employees of the new benefit provisions if you in fact.
Change the terms of your plan.
Another big thing and keep in mind is how to absorb the new cost so -- it costs across the board first of all obviously -- to -- premium.
Advances because the cost of doing this -- in the insurance industry is going to go up.
There's also going to be administrative fees that are going to be tagged onto the insurance companies for participating in the health -- it it health insurance exchanges of state level.
3.5 percent administrative fee for these insurers is going to be passed onto the employers as they buy these small group and small group plans in these exchanges even for large groups they have to deal with the -- munitions and how best to distribute those huge cost to keep business -- moving forward.
Okay -- -- although Chris who is this hardest on all these coming new rules hardest on employers.
On insurance companies -- on medical health care providers.
Well -- finished in question and a lot of that story still needs to be written I think each.
One of those groups that you mention is going to take a hit.
I think it passes costs are going to be passed on for example those.
And that the higher cost of doing insurance for no pre existing it condition exclusion that's going to be passed on.
To employers who are then gonna have to deal with it on the individual level how much.
Premium sharing is going to be done by the employees' medical writers have an entirely different.
Issue deal with as cuts to Medicare.
Going to place in their reimbursements going to be down right and then with Medicaid expansion it's huge question as to which states for example here in Texas.
We've said -- to Medicaid expansion and so the provides -- that and have their own challenges.
Let's talk hope politics should Darden Restaurants first said hey guys we -- -- employees down below forty hours to avoid Obama care requirements.
And then they backed off of that after a backlash in the media.
Do you think that employers.
Are going to be basically cal politically from not doing -- -- you think we're gonna see a lot of employers start -- people back to get out from under the requirement.
Well I think what we learned with the Darden situation is that it's a multi faster decision you can't have a knee jerk reaction you take that.
That number in the regulations this many hours listening employees and start.
-- time and cutting employment numbers it has to be a multi faster decision you have to think about.
One house is gonna look in the media but you also look real term -- what's that gonna do to morale if we all of a sudden become.
49 full time employees overnight.
It's obvious what the motivation -- and there's really is a difference between.
Full time employees and and part time employees and for small businesses who don't have a vague marketing budget on their marketing is a direct customer experience if you have any type of employee.
That might affect that but.
After -- -- -- through all of those issues that you sit down you make a -- decision and if you if the best course for your business is to come within that number that's what she did I mean some kind of cuts have got to come somewhere you would think thanks of very much for being with us -- --
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