Monday, April 29, 2013

As Health Law Changes Loom, A Shift To Part-Time Workers

April 29, 2013

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An employee serves customers at an Olive Garden restaurant in Naperville, Ill. In December, Darden Restaurants, the chain's parent company, said it won't rule out shifting full-time workers to part time to save on health care costs.

Scott Boehm/AP Images for Olive Garden

An employee serves customers at an Olive Garden restaurant in Naperville, Ill. In December, Darden Restaurants, the chain's parent company, said it won't rule out shifting full-time workers to part time to save on health care costs.

Scott Boehm/AP Images for Olive Garden

Nearly all of the remaining provisions of the new health care law go into effect next January, including one that requires businesses with 50 or more full-time employees to pay for their health care or pay a penalty.

Some businesses may already be making personnel changes to save money when that provision of the Affordable Care Act kicks in. One option on the table: shifting full-time workers to part time.

Duane Davis thinks that's what happened to him. He'd probably still be stocking clothing at the Juicy Couture store in New York City if he still got 30 to 40 hours a week of work like he used to. The work environment "was very cool," he says, and he liked his co-workers.

But Davis quit because he couldn't get enough hours. If he'd stayed and worked 30 or more hours a week, he would have been eligible for employer-paid health care starting next year. But earlier this year, Davis says, he was told he could work no more than 23 hours.

"If we were ever going over those hours, they'd tell us to go home. Because we were going over the amount of hours that we were given for the week," Davis says.

According to Davis, business wasn't down and there was plenty to do. But he says management seemed eager to shift its employee roster from majority full time to majority part time.

Davis has no proof, but he suspects it's because the company is preparing for the new health care law.

"It was crazy," Davis says of the hour limits. "I was always trying to understand � if you don't have hours to give out to part-time workers, why [are] you hiring new part-time workers?"

Shots - Health News Health Law Could Penalize Small Businesses With Part-Timers

For Employers, A Cost-Benefit Analysis

Shots - Health News Rising Health Costs Lead Companies To Drop Part-Time Benefits

Juicy Couture's parent company, Fifth & Pacific, didn't respond to requests for comment. But the Papa John's pizza chain and Darden Restaurants, which owns Red Lobster and Olive Garden, have both publicly stated they may reduce workers' hours to stay under the 30-hour-a-week limit.

Rob Wilson, president of the temp agency Employco, says he's observing similar shifts happening across his business.

"We're seeing it quite a bit," he says. "Instead of saying, 'I want one person for 40 hours a week,' [employers are saying], 'I'll take two people for 20 hours or 25 hours a week.'"

Wilson says the health care issue is also reshaping his own business. A typical temp working full time makes a gross profit of about $3,000 a year for Employco. But the cost to insure that person would come to $2,900.

That means just $100 in profit per employee before he advertises or pays his recruiters and his payroll department. "You can't survive on $100," Wilson says, "so you really have to pass that cost on."

In other words, Wilson will have to charge his clients more � if they are willing to pay. And from his perspective, this basic math adds up to a big labor market problem. "Your underemployed population in America is just going to go up dramatically," Wilson predicts.

But experts say it's not clear that this workforce shift is attributable to the health care law. Some say employers have been shifting employees more toward part time for years � especially in the retail and hospitality industries � to increase flexibility and minimize benefit costs.

Neil Trautwein, a vice president at the National Retail Federation, notes that the Affordable Care Act is just one of many cost considerations for employers. "The ACA doesn't become the determinative factor, but it does become a factor," he says.

A Shift With 'Hidden Costs'

Elise Gould, director of health policy research at the Economic Policy Institute, a liberal think tank, says the new provision won't affect most workers. But studies show about 2 million workers could potentially get fewer hours � and therefore remain without health insurance.

"Workforces that are based on part-time work, a lot of those workers already are not eligible," Gould says. But, she adds, "to the extent that they have some workers that are working, say, 32 hours a week, are they going to move them down? Absolutely. Those are the workers that are most at risk."

It's not clear that relying on more part-time workers to avoid health care costs is a financially sound tradeoff for employers. Carrie Gleason, executive director of the Retail Action Project, a worker advocacy group, says "there are tremendous hidden costs to having a large part-time workforce."

Scheduling workers will be a bigger headache if employers rely on more part-time workers, Gleason says. And there's more turnover, which increases a business's training and customer service costs.

"This is a massive growing retail sector. It's one of the few sectors that are actually creating jobs," Gleason says. "Yet it's creating this workforce that's really reliant on government support or going to the emergency room to get health care."

If employers get around paying for health care costs, Gleason says, it will simply shift the burden of cost elsewhere.

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Saturday, April 27, 2013

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Friday, April 26, 2013

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Thursday, April 25, 2013

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Wednesday, April 10, 2013

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Tuesday, April 9, 2013

Affordable Care Act at 3: Looking Forward and Expanding Access

Three years ago, the Affordable Care Act ushered in a new day for health care.

Since then, more than 6.3 million seniors and people with disabilities with Medicare have saved more than $6.1 billion dollars on prescription drugs.� Nearly 71 million Americans got expanded access to preventive service at no charge through their private insurance plans, and 47 million women now have guaranteed access to additional preventive services without cost sharing. More than 3.1 million young adults who were uninsured were able to gain coverage by being able to stay on their parents� insurance policies until they turned 26. �And parents no longer have to worry about insurers denying coverage to their children because of a pre-existing condition.

Americans are getting more value for their health care dollars due to the health care law. Affordable Care Act initiatives are promoting coordinated care; paying for quality, not quantity; and dramatically reducing fraud and waste, contributing to the slowest growth in national health spending in 50 years.�

Consumers also saved $2 billion in 2012, because of programs to review premium rates and to require insurers to provide rebates if they do not spend at least 80% of premiums on care, rather than overhead, such as executive pay and marketing.� And the law�s initiatives have extended the life of the Medicare Trust Fund by eight years.

But that�s only the beginning. Thanks to the health care law, starting October 1, 2013, qualified individuals will have access to quality health insurance through the new Health Insurance Marketplace.

With the Marketplace, there�ll be a whole new way to find health insurance that fits consumers� needs and budgets, with less hassle. Individuals, families, and small business owners in every state and the District of Columbia will be able to shop in the Marketplace for private insurance coverage that begins in January 2014. �

For the first time, you�ll be able to go to one place to learn about health insurance; get accurate information on different plans; and make apples-to-apples comparisons of private insurance plans�including costs and benefits.� You�ll get a clear picture of what you�re paying and what you�re getting before you make a choice. You�ll also be able to learn, with a single application, if you qualify for a free or low-cost plan, or a new kind of tax credit that lowers your monthly premiums right away.

Because the Affordable Care Act outlaws discriminating against anyone with a pre-existing or chronic condition, as of January 1, 2014, no one can be turned away by plans in the Marketplace or charged more because they�re in poorer health�or just because they�re a woman. At last, being a woman will no longer be a pre-existing condition.

And every health insurance plan in the Marketplace will cover a standard set of essential health benefits that includes, among other benefits, hospital stays, prescription drug coverage, preventive services, oral and vision care for kids.

Open enrollment begins October 1, 2013. Get ready now for the Marketplace by signing up for e-mails and text messages for updates and information at https://signup.healthcare.gov/

In June, the site will be unveiling the new Marketplace. You�ll be able to learn everything you need to know about the Marketplace, including how it works, the benefits of health insurance, how to choose a plan based on your needs and lifestyle, and more. Then in the fall, you can use this site to enroll in a plan from home, or from any place you can access the Web.

Every American needs and deserves quality health insurance.� The Marketplace will help ensure that Americans will have access to quality, affordable health insurance.

Learn more about the Health Insurance Marketplace at www.healthcare.gov/marketplace.

Follow Secretary Sebelius on Twitter at @Sebelius.

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Wednesday, April 3, 2013

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Tuesday, April 2, 2013

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