With the 2014 deadline approaching for implementing major provisions under the Patient Protection and Affordable Care Act, many employees covered through their employers are already receiving letters informing them of the ACA's "Medical Loss Ratio" requirement. This mandates that part of the premiums paid by their employers to their insurance providers be rebated if the providers have not spent at least 85 percent of those premiums -- as one letter puts it -- "on healthcare services, such as doctors and hospital bills, and activities to improve healthcare quality, such as efforts to improve patient safety." Employers have choices to make as to how the rebates will, in turn, be provided to or shared with employees or if they have to be provided.
Many also seem confused. According to a white paper, Employers most impacted by healthcare reform taking a "wait-and-see approach" -- many seem to be in denial, prepared by Guardian Research, "Companies with less knowledge of [ACA] are more likely to feel that they have time to make decisions ... [and] most are under the impression that maintaining the status quo will still be a viable option after the bulk of [ACA] provisions go into effect in 2014."