What does this mean? As Keckley notes: "Ten percent of employers dropped health insurance coverage in the last decade for no other reason than the cost, and another 10% are expected to drop it in the next 10 years. So regardless of what takes place with the Affordable Care Act, the healthcare system will be turned upside down."
Deloitte's recently released 2012 Survey of U.S. Employers, which polled employers with 50 or more workers about the healthcare system, found that most employers do not intend to drop health benefits coverage. However, 9% of companies representing 3% of the workforce anticipate dropping coverage in the next 1-3 years. Still another 10% of companies, representing 13% of the workforce, are unsure about their coverage. The report cites prohibitive cost as the driver that may lead employers to consider dropping healthcare coverage.
The state insurance exchanges pose another conundrum for finance leaders, who won't know how many of their employees may move on to these plans or what the payment rates will be. Insurance exchanges essentially will bring together private health insurance companies, along with a government health insurance option, which will compete for business among individuals and small businesses.