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|Articles - July/August 2014|
|Friday, July 11, 2014|
Page 6 of 6
Healthy Business Alliance
Nationwide, President Obama and the business community haven’t always seen eye to eye on health care reform — perhaps understandably, considering the hefty financial burden the ACA’s employer mandate represents for medium- and large-size businesses. In Oregon, though, a tradition of health care innovation and a progressive, health-conscious ethos has nurtured a more proactive dynamic between business and reform advocates.
For example, when the president last year delayed the employer mandate, giving businesses with 50 or more workers additional time to provide health coverage to their employees, his decision came in response to stiff opposition from larger employers across the country. But in Oregon, it appears these bigger businesses aren’t waiting for the mandate to go into effect to offer benefits. “My sense is that they know it’s coming, so they’re just getting ahead of it,” says D.J. Vogt, vice president of government affairs for the Oregon Business Association.
Even some employers with fewer than 50 workers, who were never required to provide coverage, are doing so here, anecdotal evidence suggests. More than 200 smaller businesses, for instance, have signed up with Health Republic. “My guess would have been that now that there’s individual coverage with guaranteed issue, and maybe a subsidy, small employers would say, ‘Go out there! Good luck to you!’” says CEO Bonder.
But in this labor market, she continues, employers need to offer coverage to be competitive: “To get your choice of the best and the brightest, you’re competing with companies that are offering health benefits,” Vogt concurs, adding that many Oregon business owners simply see providing coverage as the right thing to do. “It doesn’t surprise me that people are doing that,” he says. “I feel that’s just part of an ethos that comes with the territory here.”
Some insurance executives predict that once Cover Oregon is fully functioning and there’s more certainty in the individual market, under-50-employee businesses in Oregon may do exactly what Bonder imagined they would. Prows, of Oregon’s Health CO-OP, says the “prevailing prediction” in the industry is that smaller employers will opt to offer a defined contribution for individual insurance instead of sponsoring their own health plan.
For these businesses and their workers, that would mean the end of employer-provided health coverage as we know it. “I think it’s early to just have small employers say, ‘OK, good luck,’” says William Johnson, president of Moda. “But I do think that may happen in the future.”
As the fate of small-group insurance — like that of CO-OPs, hospitals and CCOs — hangs in the balance, reform proponents underscore the potential for meaningful change. If nothing else, Johnson says, the ACA has started a far-reaching, industry-wide discussion: “We’re all engaging in a conversation now that’s going to change health care as we know it.”
Thursday, August 20, 2015
BY JACOB PALMER
Ask any college student: Textbook prices have skyrocketed out of control. Online education startup Lumen Learning aims to bring them down to earth.
Thursday, September 24, 2015
BY KIM MOORE | RESEARCH EDITOR
The traditional model of sports teams using paid media to get their message across is disappearing as teams look instead to social media to interact with fans.
Monday, September 28, 2015
BY KIM MOORE
A conversation with Jonathan Bennett, managing partner at law firm Dunn Carney Allen Higgins & Tongue.
Friday, August 21, 2015
Renee Spears, founder and owner of Portland-based Rose City Mortgage, is hot to trot to sell pot.
Thursday, October 08, 2015
BY JACOB PALMER | DIGITAL NEWS EDITOR
Based on several metrics, Oregon has one of the lowest performing K-12 education systems in the country. Teacher compensation is part of the problem.
Wednesday, August 26, 2015
BY KIM MOORE AND LINDA BAKER
Child care in Oregon is expensive and hard to find. We delved into the numbers and talked to a few executives and managers about day care costs, accessibility and work-life balance.
Friday, August 14, 2015
BY JACOB PALMER | DIGITAL NEWS EDITOR
17 airlines make stops at Portland International Airport, but not all are created equal when it comes to customer service.
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