Difference between revisions of "Businesses & Money"

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*Businesses who offer money to buy individual plans vs covering group plans often fare better
 
*Businesses who offer money to buy individual plans vs covering group plans often fare better
 
*Alternatively, employers set up health reimbursement accounts (HRA). The advantage of an HRA over a health savings account (HSA) is that the plan can be structured so that if an employee does not use the money in an HRA, the money will still belong to the company.
 
*Alternatively, employers set up health reimbursement accounts (HRA). The advantage of an HRA over a health savings account (HSA) is that the plan can be structured so that if an employee does not use the money in an HRA, the money will still belong to the company.
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====Direct primary care====
 
====Direct primary care====
 
*Direct primary care works by charging users a monthly fee for unrestricted access to their doctor, instead of billing patients' insurance
 
*Direct primary care works by charging users a monthly fee for unrestricted access to their doctor, instead of billing patients' insurance
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*'''"Direct primary care, coupled with a high-deductible health insurance plan, can oftentimes be an outstanding and relatively affordable solution for entrepreneurs and small business."'''
 
*'''"Direct primary care, coupled with a high-deductible health insurance plan, can oftentimes be an outstanding and relatively affordable solution for entrepreneurs and small business."'''
 
*Can often save 12 percent to 15 percent over what a firm would spend for traditional health insurance.
 
*Can often save 12 percent to 15 percent over what a firm would spend for traditional health insurance.
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====Workplace health programs====
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Information from this section taken from [http://www.cdc.gov/workplacehealthpromotion/businesscase/benefits/costs.html (CDC)]
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*CDC defines "workplace health programs" as  a coordinated and comprehensive set of strategies which include programs, policies, benefits, environmental supports, and links to the surrounding community designed to meet the health and safety needs of all employees.
 +
*Keeps healthy employees in the “low-risk” category by promoting health maintenance, while also targeting those unhealthy employees in the higher-risk categories, therefore lowering overall health insurance costs.
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*A systematic review of 56 published studies of worksite health programs showed that well-implemented workplace health programs can lead to 25% savings each on absenteeism, health care costs, and workers’ compensation and disability management claims costs.
  
 
==Changing nature of raising capital==
 
==Changing nature of raising capital==

Revision as of 16:24, 8 February 2016

To do:

  1. access to capital for small businesses
  2. wages
  • If firms have to pay more for inputs, we will have to reduce cost of capital

Minimum wage criteria

General

The following information taken from (USDL)

  • Under the Fair Labor Standards Act (FLSA), the federal minimum wage for covered nonexempt employees is $7.25 per hour.
  • Effective since July 24, 2009.
  • Some states have minimum wage criteria that diverges from the federal government. Where an employee is subject to both the state and federal minimum wage laws, the employee is entitled to the higher minimum wage rate.
  • Enforced by the Wage and Hour Division of the U.S. Department of Labor.

Exceptions

The following information taken from (USDL)

  • Various minimum wage exceptions apply under specific circumstances to workers with disabilities, full-time students, youth under age 20 in their first 90 consecutive calendar days of employment, tipped employees, and student-learners.
  • Tipped Workers: Minimum wage for tipped employees is $2.13 an hour in direct wages, if that amount plus the tips received equal at least the federal minimum wage. If an employee's tips combined with the employer's direct wages of at least $2.13 an hour do not equal the federal minimum hourly wage, the employer must make up the difference.
  • Disabled workers: Employers can apply for a certificate to pay less than the minimum wage to anyone "whose earning or productive capacity is impaired by a physical or mental disability, including those relating to age or injury." Hourly pay is based on the employer's assessment of their productivity relative to the productivity of non-disabled workers.
  • Very small businesses: Only applies to employees of enterprises that have annual gross volume of sales or business done of at least $500,000 and haven't done business across state lines.

Increase minimum wage?

Healthcare's impact on business

Status quo

  • The Bureau of Labor Statistics found only 57 percent of workers at firms with 100 employees or less have access to employer-sponsored health care. (BLS)
  • In a recent national survey by Bank of America, 72 percent of small-business owners said they are concerned about health-care costs. (Bank of America Report)
  • Some experts say that looking to lower health-care costs significantly isn't realistic for many firms and that slowing increases is more realistic. (CNBC)
    • "Reducing your cost over time from one year to the next is probably an unrealistic standard. A company that is keeping its benefits costs in line with its compensation costs is probably doing exactly right." -Alan Cohen, chief strategy officer and co-founder of Liazon

Ways small businesses can save on healthcare

Following information from (CNBC) unless otherwise noted.

Negotiate private plans

  • Some private insurance premiums are negotiable, especially in the 50-99 employee range.

SHOP

  • As of Nov. 15, small businesses with 50 or fewer "full-time equivalent employees" under the Affordable Care Act's formula can now turn to the Small Business Health Options (SHOP) exchange.
  • SHOP is "essentially a federal or state-run supermarket—or marketplace—where businesses can shop for small-business plans" according to Sally Poblete.
  • With SHOP, small businesses can define the amount of money they wants to contribute to premiums and allow employees to select from the health and dental plans, depending on employees' needs.
  • Some businesses qualify for tax credits when they purchase insurance through SHOP.
  • Coverage for an individual plan sold through the exchanges can be customized to the individual - they will not necessarily get inferior coverage by switching to SHOP.
  • See this (GAO report) on the reasons for low SHOP enrollment.

Convert from group to individual plans / HSA to HRA accounts

  • Businesses who offer money to buy individual plans vs covering group plans often fare better
  • Alternatively, employers set up health reimbursement accounts (HRA). The advantage of an HRA over a health savings account (HSA) is that the plan can be structured so that if an employee does not use the money in an HRA, the money will still belong to the company.

Direct primary care

  • Direct primary care works by charging users a monthly fee for unrestricted access to their doctor, instead of billing patients' insurance
  • Costs ~$80/month and ~$1000/year for individuals and some practices offer discounts to employers
  • "Direct primary care, coupled with a high-deductible health insurance plan, can oftentimes be an outstanding and relatively affordable solution for entrepreneurs and small business."
  • Can often save 12 percent to 15 percent over what a firm would spend for traditional health insurance.

Workplace health programs

Information from this section taken from (CDC)

  • CDC defines "workplace health programs" as a coordinated and comprehensive set of strategies which include programs, policies, benefits, environmental supports, and links to the surrounding community designed to meet the health and safety needs of all employees.
  • Keeps healthy employees in the “low-risk” category by promoting health maintenance, while also targeting those unhealthy employees in the higher-risk categories, therefore lowering overall health insurance costs.
  • A systematic review of 56 published studies of worksite health programs showed that well-implemented workplace health programs can lead to 25% savings each on absenteeism, health care costs, and workers’ compensation and disability management claims costs.

Changing nature of raising capital

Following information from (Bank of America) unless otherwise noted.

  • Only 29 percent of small business owners said they’ve applied for a business loan over the last two years
    • 90% of those who applied were approved
  • More than half (58%) of Millennial small business owners applied for a business loan within the last two years, nearly twice that of Gen-Xers (30%). Friends and family are an important source of funding for Millennial small business owners, with 30% saying they’ve received a loan from their loved ones in the past. Millennial small business owners are nearly five times as likely as Gen-Xers to have received past funding from a peer-to-peer network, while Boomers (25 percent) were more than twice as likely as Millennials (10 percent) to have received funding from a home equity loan/other personal debt.