Employer mandate of health care law delayed until 2015

WASHINGTON In a major concession to business groups, the Obama administration Tuesday unexpectedly announced a one-year delay, until 2015, in a central requirement of the new health care law that medium and large companies provide coverage for their workers or face fines.

The so-called employer mandate requires companies with more than 50 full-time employees to provide affordable health insurance or face a penalty of $2,000 per employee.

The move sacrificed timely implementation of President Barack Obama's signature legislation but may help the administration politically by blunting a line of attack Republicans were planning to use in next year's congressional elections. The employer requirements are among the most complex parts of the health care law, which is designed to expand coverage for uninsured Americans.

"We have heard concerns about the complexity of the requirements and the need for more time to implement them effectively," Treasury Assistant Secretary Mark Mazur said in a blog post. "We have listened to your feedback and we are taking action."

Most business groups were jubilant.

"A pleasant surprise," said Randy Johnson, senior vice president of the U.S. Chamber of Commerce. There was no inkling in advance of the administration's action, he said.

The National Retail Federation, which has called for the regulations to be delayed, was equally appreciative.

"The one-year delay will provide employers and businesses more time to update their health care coverage without threat of arbitrary punishment," said Neil Trautwein, the federation's vice president and employee benefits policy counsel.

But others maintained that the provision will never be workable.

"Temporary relief is small consolation," said Amanda Austin, director of federal public policy with the National Federation of Independent Business, which last year lost the landmark Supreme Court case challenging the law's constitutionality.

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Employer mandate of health care law delayed until 2015

Health care stocks pull back

Shares of hospital operators sold-off Wednesday on delay in health care reform.

NEW YORK (CNNMoney)

Investors had been betting that hospital operators and insurance companies would benefit from an increase in the number of insured workers under the law, widely known as Obamacare.

Shares of Tenet Healthcare (THC, Fortune 500), which operates hospitals and outpatient centers in 11 states, fell 4% Wednesday.

Investors also punished shares of HCA Holdings (HCA, Fortune 500), LifePointHospitals (LPNT), Community Health Systems (CYH, Fortune 500) and Health Management Associates. (HMA, Fortune 500)

The iShares Dow Jones U.S. Health Care Provider Index Fund (IHF) , which includes drug stocks like Johnson & Johnson (JNJ, Fortune 500) and Pfizer (PFE, Fortune 500), was down1%.

Shares of major health insurance companies also pulled back. UnitedHealth (UNH, Fortune 500), Humana (HUM, Fortune 500)and Aetna (AET, Fortune 500) were all down about 0.5%.

The Treasury Department said Tuesday it will delay a provision in the law that requires businesses to provide their workers with health insurance or face fines.

The decision came after businesses complained about the complexity of the law's reporting requirement, which applies to firms with more than 50 full-time employees that don't already provide coverage.

Critics say the law will cause small businesses to cut back on full-time workers and hire more part-timers to avoid penalties. But the delay is not expected to have a major impact on profits for big insurance companies.

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Health care stocks pull back

Health care stocks pull back on Obamacare delay

Shares of hospital operators sold-off Wednesday on delay in health care reform.

NEW YORK (CNNMoney)

Investors had been betting that hospital operators and insurance companies would benefit from an increase in the number of insured workers under the law, widely known as Obamacare.

Shares of Tenet Healthcare (THC, Fortune 500), which operates hospitals and outpatient centers in 11 states, fell 4% Wednesday.

Investors also punished shares of HCA Holdings (HCA, Fortune 500), LifePointHospitals (LPNT), Community Health Systems (CYH, Fortune 500) and Health Management Associates. (HMA, Fortune 500)

The iShares Dow Jones U.S. Health Care Provider Index Fund (IHF) , which includes drug stocks like Johnson & Johnson (JNJ, Fortune 500) and Pfizer (PFE, Fortune 500), was down1%.

Shares of major health insurance companies also pulled back. UnitedHealth (UNH, Fortune 500), Humana (HUM, Fortune 500)and Aetna (AET, Fortune 500) were all down about 0.5%.

The Treasury Department said Tuesday it will delay a provision in the law that requires businesses to provide their workers with health insurance or face fines.

The decision came after businesses complained about the complexity of the law's reporting requirement, which applies to firms with more than 50 full-time employees that don't already provide coverage.

Critics say the law will cause small businesses to cut back on full-time workers and hire more part-timers to avoid penalties. But the delay is not expected to have a major impact on profits for big insurance companies.

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Health care stocks pull back on Obamacare delay

NYC mayoral candidate Anthony Weiner outlines health care plan at The Common Good – Video


NYC mayoral candidate Anthony Weiner outlines health care plan at The Common Good
On June 20th, 2013, New York City mayoral candidate Anthony Weiner (at 4:00min) spoke to The Common Good and introduced his health care plan to insure all ci...

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NYC mayoral candidate Anthony Weiner outlines health care plan at The Common Good - Video

Health Care Reform Series: Coverage Improvements During the Transition Period – Video


Health Care Reform Series: Coverage Improvements During the Transition Period
Disclaimer: Pre-approved HRCI credit was only available for those that attended the live webinar. By viewing this recording, FutureOffice Network does not gu...

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Health Care Reform Series: Coverage Improvements During the Transition Period - Video

Health care fuels Kansas City area job growth

Without the health care industry, the Kansas City areas economy would have suffered far more in the Great Recession and slow recovery.

A new Brookings Institution study of the largest metropolitan areas found that the Kansas City region has more than the national average share of health care practitioners and health technologists in its labor force, and the health care industry has grown faster here than the national average.

While health care jobs nationally contributed to 13 percent of job growth in the recovery, those jobs represented 18 percent of the post-recession growth in the Kansas City area, according to the report released Monday.

Health care created about 6,300 jobs out of about 35,000 created in the Kansas City area since the recovery began and that can be a good news/bad news thing, said Martha Ross, a fellow in the Brookings Metropolitan Policy Program.

Its good to have job growth in that industry, but you want broad employment growth, so its important for the metro areas overall health to have growth in other industries as well, she said in a telephone intervew.

Theres another mixed blessing about job growth in health care: The average earnings of health care practitioners, a category that includes physicians, nurses and dentists, are nearly double average worker wages. Thats good for the local economy.

But the average wages of home health care aides and other kinds of nursing assistants are lower than national pay averages. And their limited discretionary income means less purchasing power and a small economic ripple in the economy.

More than 85,000 workers out of the Kansas City areas employment base of about 970,000 are health care practitioners, technicians, such as lab workers, and health aides, Brookings reported, based on U.S. Department of Labor industry classifications.

Nationally and in the Kansas City area, about 1 in 10 jobs are in the health care industry. From 2003 to 2013, employment in that industry grew 22.7 percent, far outstripping the 2.1 percent job growth in all other industries.

Brookings said that in the 100 largest U.S. metro areas, the share of health care practitioners which includes doctors, nurses and dentists averages 3.6 percent of all employment. In the Kansas City area, those jobs account for 3.8 percent of employment.

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Health care fuels Kansas City area job growth

Advocate Health Care Reports More Than $600 Million in Community Benefits

DOWNERS GROVE, IL--(Marketwired - July 01, 2013) - Advocate Health Care, the state's largest integrated health system, announced today that it provided $614 million in charitable care and services in 2012. The total is an increase of $43 million over the previous year.

"We continually challenge ourselves to extend our services beyond our hospital walls," said Jim Skogsbergh, president and CEO of Advocate Health Care. "We are proud to have provided charitable care and services that touched so many lives last year."

Advocate provided $104 million in free and discounted charity care for the uninsured and underinsured and supplied more than $330 million in care without full reimbursement from Medicare and Medicaid. In 2012, these benefits alone totaled $434 million in health care service costs.

In addition to free and subsidized health care, Advocate also offers programs and services that respond to communities' unique needs. These include health and wellness screenings, behavioral health services, and school-based health care. Advocate also made significant investments in language-assistance programs, which offer our patients access to interpreters and other non-English patient education materials.

Contributions to other not-for-profit community organizations, as well as equipment, supplies and clinic space donations totaled $6 million. Advocate also increased its provision of medical education and training in 2012 to more than $80 million. As part of its annual Community Benefits Report, a detailed breakdown of Advocate's contributions was recently filed with the State.

About Advocate Health Care

Advocate Health Care, named among the nation's Top 5 largest health systems by Truven Analytics, is the largest health system in Illinois and one of the largest health care providers in the Midwest. Advocate operates more than 250 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state's largest integrated children's network, five Level I trauma centers (the state's highest designation in trauma care), two Level II trauma centers, one of the area's largest home health care companies and one of the region's largest medical groups. Advocate Health Care trains more primary care physicians and residents at its four teaching hospitals than any other health system in the state. As a not-for-profit, mission-based health system affiliated with the Evangelical Lutheran Church in America and the United Church of Christ, Advocate contributed $614 million in charitable care and services to communities across Chicagoland and Central Illinois in 2012.

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Advocate Health Care Reports More Than $600 Million in Community Benefits

Health Care REIT, Inc. Completes Investment with Sunrise Senior Living

TOLEDO, Ohio--(BUSINESS WIRE)--

Health Care REIT, Inc. (HCN) announced today the completion of the final phase of the Sunrise Senior Living, Inc. property portfolio acquisition. The aggregate $4.3 billion investment includes 120 wholly-owned properties and 5 properties owned in joint ventures with third parties. Health Care REIT expects the portfolio to generate an unlevered NOI yield exceeding 6.5% in the second half of 2013 with long-term growth of 4% to 5% per year on average.

The portfolio includes approximately 10,000 units located in affluent, infill markets. Approximately 90% of the properties are Sunrises well-regarded mansion prototype. The average age of the portfolio is eight years, which is well below the industry average. The properties generate average monthly rental rates that are nearly 100% higher than the industry average. The portfolio is located primarily in markets with high concentrations of age and income-qualified elderly including London, Southern California, Chicago, Philadelphia, Boston, Washington D.C., and Montreal.

The Sunrise transaction epitomizes our strategy to partner with the leading operators to own premier-quality real estate in affluent, infill markets, said George L. Chapman, Chairman and CEO of Health Care REIT. Our teams execution on the joint venture buyouts exceeded all expectations with respect to timing and economics.

Sunrise Property Count Reconciliation:

8/22/12

5/7/13

7/1/13

105

54

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Health Care REIT, Inc. Completes Investment with Sunrise Senior Living

America’s Health Care Pricing Problem

Juanmonino / Getty Images

Of all the oddities of the U.S. health care system, one stands out: we spend far more on health care per person than other industrialized nations yet have no better health outcomes.

Understanding why isnt easy. A 2012 paper by the Commonwealth Fund found that, among 13 industrialized countries studied, the U.S. has the highest rate of obesity, which is usually a factor higher health care costs.

Yet, the U.S. ranks far behind many other countries in our rates of citizens who smoke or are over 55, two other strong indicators of increased spending.

So why is our health care spending more than 17 percent of our gross domestic product, far more than any other country?

In the recent debate over health care reform, two often cited culprits were fear of malpractice lawsuits and our complex health care payment structure. Doctors and hospitals practice defensive medicine, critics charge, ordering extraneous tests and procedures to protect themselves in the event of malpractice claims. This leads to over-use of the health care system.

(MORE: And Now, The Selling of Obamacare)

Likewise, fee-for-service medicine, in which hospitals and doctors are paid separately for every treatment, procedure or test they perform, also encourages over-use. And yet, the same Commonwealth Fund study found that, while we may be consuming more health care than we need, we arent nearly as guilty of this as, for example, Japan. There, patients consult with doctors, on average, more than 13 times a year, compared to the U.S., where patients have about four doctor consultations annually. Or how about Canada, where patients receiving acute care stay in the hospital an average of 7.7 days, compared to our 5.4?

A central reason U.S. health care spending is so high is because hospitals and doctors charge more for their services and theres little transparencyabout why. There is no uniformity to the system, in which public and private insurers have separate, unrelated contracts with hospitals and doctors. The result is a tangled, confusing and largely secretive collection of forces driving health care prices higher and higher.

This isnt possible in many other countries either because governments set prices for health care services or broker negotiations between coalitions ofinsurers and providers. Known as all-payer rate setting, insurers in these systems band together to negotiate as groups. In contrast, U.S. insurers closely guard the secrecy of their contracted prices with health care providers and negotiate individually. This is why a hospital hosting five patients for knee replacements might get paid five different amounts for the surgeries.

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America's Health Care Pricing Problem

Health care provides more jobs than a decade ago, report says

Health care now accounts for a bigger share of jobs than before the recession in all major metro areas, including Baltimore, the Brookings Institution said Monday.

A report focused on health care employment shows the industry now plays a larger role in regional economies, with the number of health care jobs up nearly 23 percent to 14.5 million between the first quarter of 2003 and the first quarter of this year. During the same period, employment in other industries grew 2.1 percent, Brookings' MetroMonitor index showed.

The Baltimore-Towson metro area gained more than 86,000 total jobs since 2003, with health care jobs accounting for nearly 14 percent of that growth just over 11,900 additional jobs. The area ranked 41st out of 100 in terms of health care's impact on the recovery in jobs after the recent recession.

In the first quarter of the year, health care jobs made up 12.4 percent of the Baltimore area's jobs, up slightly from 11 percent before the recession.

Health care jobs accounted for 13 percent of the job growth in the nation's 100 largest metro areas, and now one in 10 workers nationally have health-related jobs. The areas with the biggest concentrations of health care jobs are the northeast and industrial Midwest, as well as parts of Florida with large senior populations, the report said.

lorraine.mirabella@baltsun.com

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Health care provides more jobs than a decade ago, report says

Health Care Study


Health Care Study Immigration Reform Tempe Trolley
The U of A Integrative Health Center in Phoenix is undertaking a new study to determine the effectiveness of a whole-person approach to health care. The US S...

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Health Care Study