Becker's Hospital Review

11 2015 YEAR REVIEW in FINANCE PERSPECTIVE "e early data doesn't support the fears from crit- ics that employers would cut jobs and reduce hours, according to an October research paper from the Federal Reserve Bank of New York economist Max- im Pinkovskiy. Aer one year of implementation, 'it appears very unlikely that the ACA substantially re- duced employment in the areas that could expect to be most affected by it,' he wrote. Still, he cautioned that the long-term impact 'remains to be seen.'" Further, one might argue that the very slow recovery of the U.S. economy over the last few years is in part due to in- creased taxes and increased healthcare costs. 5. e total cost of insurance and healthcare. e to- tal cost of care for a family has not decreased at all over the last few years. In fact, there has been a shiing of costs (and growth) to deductibles. Further, the ultimate cost of insurance has grown marginally and is projected to grow a good deal more. Insurance for a family of four might cost $12,000 with deductibles of $4,000 to $6,000. us, the total cost of care ends up being about $17,000 versus the $12,000 to $13,000 a few years ago. It is increasingly apparent that coverage is becoming more costly for people than expected, even with subsidies. See, e.g. "ObamaCare is Lose-Lose for Mississippi; Premiums to soar 60% up the Yazoo While Mandate Tax Explodes," by Jed Graham, Investor's Business Daily, Oct. 29. In an Oct. 26 Wall Street Journal article titled "Health- Care Premiums to Climb in 2016" by Stephanie Armour, she reports: "e Obama administration said Monday that many consumers will see noticeable premium increases when buying health coverage on insurance exchang- es in 2016, acknowledging for the first time what many healthcare experts had predicted. e price of the second lowest-cost midrange 'silver plan' — a key metric for premiums around the country — will rise by 7.5 percent on average across the three-doz- en states that rely on Washington to administer the health law for them, federal officials said. And 60 percent of enrollees — across 30 of the largest markets in the U.S. — will see the average rate for that benchmark to rise by 6.3 percent, according to a Health and Human Services report on premi- um data that hasn't yet been made fully public. e higher premiums are likely to intensify Republican's claims that the health law isn't holding down costs. e Obama administration is urging customers to go back online during open enrollment, which be- gins Nov. 1, and shop around to limit the impact of the premium hikes." 6. e uninsured. e extent of effort to reduce the number sheridanhealthcare.com | 888.793.1316 OUTSOURCED CLINICAL & MANAGEMENT SERVICES ANESTHESIOLOGY | EMERGENCY | NEONATOLOGY | RADIOLOGY IS YOUR NICU GROWTH STRATEGY ON TRACK? Assembly of a NICU team dedicated to your facility Neonatologists aligned to hospital's goals, including quality, efficiency, and cost reduction Benchmarking of patient outcomes Coordinated patient care and community integration

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