2013 Employer-Sponsored Health Care: ACA's Impact


The vast majority (69%) of organizations say they plan to continue providing coverage when exchanges open in 2014, primarily to retain and attract talented employees. That percentage is up from 2012, when 46% of organizations definitely planned to continue coverage according to 2013 Employer-Sponsored Health Care: ACA’s Impact by the International Foundation.

About two-thirds (64%) of organizations have analyzed ACA’s cost impact. Organizations commonly estimate a 3-4% cost increase for 2013 due to ACA, and estimates of cost increases directly associated with ACA have increased since 2012.

Click the infographics on the right to view key findings.

Nearly all single employer plans (90%) have moved beyond a wait-and-see approach in their response to health care reform, the International Foundation found in its fourth annual survey of how the Affordable Care Act (ACA) has impacted those plans. Some of the more common action steps being taken include: the adoption of wellness initiatives and incentives, cost-management initiatives and high-deductible health plans.

About the Survey

2013 Employer-Sponsored Health Care: ACA’s Impact examines overall status and approach, cost impact, health insurance exchanges and reactions to specific provisions potentially impacting health care benefit costs. Plan representatives were asked about progress since ACA’s initial implementation and how they’ll react over the next 12 months. The survey was deployed on March 19, 2013 and closed on March 26, 2013. Benefits and human resources professionals, general and financial managers and other professionals comprised the 966 individuals who responded.

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Organizational Status by Year

Organizational Status by Year
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Cost Impact Due to the ACA by Year

Cost Impact Due
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Likelihood of Continuing Coverage for All Full-Time Employees by Year

Continuing Coverage for Full-Time Employees
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Workforce Adjustments Due to the ACA by Employer Size

Workforce Adjustments Due
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Changes in Plan Design/Utilization Due to the ACA

Changes in Plan Design/Utilization Due
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