With little more than eight months before key mandates of health care reform take effect, new research shows almost half of Americans don't know much if anything at all about the new federal laws.
Come Jan. 1, reforms require most individuals to have insurance or pay taxes, larger businesses to offer affordable health insurance or pay annual penalties, and insurers to follow new plan regulations.
Only 10 percent of Americans surveyed said they are very knowledgeable about the Affordable Care Act, or Obamacare, according to a survey conducted by Princeton Survey Research Association International and released by InsureQuotes.com, based in San Francisco, this month. Twenty-eight percent said they aren't too knowledgeable, and 31 percent said they're somewhat knowledgeable.
Meanwhile, 90 percent of Americans don't know new health insurance exchanges will be available for online and telephone enrollments Oct. 1. Oklahoma's federally-run exchange will let residents and employers with up to 100 workers compare and buy health insurance policies, much like they shop online for travel packages.
Considering this lack of awareness, it's no surprise Crowe & Dunlevy chose a puzzle theme for its annual employer health care conference last week at the Skirvin Hilton Hotel. Jigsaw pieces and Rubik's Cubes adorned tables, and some 150 attendees were invited to complete Affordable Care Act crosswords. The opening update was titled “The Puzzle Is Taking Shape.”
Karen Rieger, who directs Crowe's health care practice, said the fact that Oklahoma has chosen not to expand Medicaid, which would have provided health care to the state's working poor — combined with what many perceive as ineffective, low penalty taxes for individuals without coverage — have made for weak price controls.
Industry observers predict employer-sponsored health plans will cost 2 to 3 percent more next year, she said. Other small employers attending, including the office manager of a 17-employee dermatology practice, expect increases as high as 35 percent.
Many healthy, young professionals will pay the penalty without buying the insurance, Rieger said. And the uninsured — including some 180,000 who theoretically were to be covered by Medicaid — will continue to use emergency rooms for care, prompting higher medical costs for those who have coverage.
Based on family incomes, some 20 to 30 percent of Oklahomans are estimated to qualify for tax credits to buy insurance on a federally-run exchange in Oklahoma, Rieger said. Crowe's president, Kevin Gordon, expects hardship allowances will come for the state's working poor so they, too, may shop the exchange.
New mandates coming