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February 7, 2011 SHRM Poll:  Health Care Reform: Where Are Organizations in the Decision-Making Process?
Health Care Reform Series:  Poll 3 Introduction ,[object Object]
Key Findings ,[object Object],[object Object],[object Object],[object Object]
Is your organization engaging in an analysis to determine the impact of the health care reform law on your health care plan?  ,[object Object],Note: Percentages do not total 100% due to rounding. June 2010 data are from SHRM Poll:  Organizations’ Response to Health Care Reform .
Is your organization engaging in an analysis to determine the impact of the new health care reform law on your health care plan? Comparison by Medical Benefit Funding Organizations with self-insured plans were more likely to have already conducted analysis  and decided NOT to drop health care coverage. Differences Based on Medical Benefit Funding Already conducted an analysis and decided not to drop health care coverage  Self-insured (33%) > insured (20%) Will not conduct an analysis and already decided we will not drop health care coverage  Insured (31%) > self-insured (18%) Unsure at this time Insured (26%) > self-insured (18%)
Is your organization waiting to make any health care plan decisions based on any of the following factors? Note: n = 617-674. Percentages do not total 100% due to rounding.  Data sorted by “Yes” column. Yes No Don’t know Regulatory guidance or information on specific provisions in the health care reform law 48% 42% 10% Changes to specific provisions in the health care reform law 32% 57% 11% Repeal of specific provisions of the health care reform law 24% 64% 12% Repeal of the entire health care reform law 13% 75% 12% Other factors 13% 53% 35%
Is your organization waiting to make any health care plan decisions based on any of the following factors? Comparison by Medical Benefit Funding Differences Based on Medical Benefit Funding Regulatory guidance or information on specific provisions in the health care reform law  Self-insured (54%) > insured (42%) Changes to specific provisions in the health care reform law Self-insured (36%) > insured (28%)
For the following provisions of the health care reform law, what do you see as the main implementation barrier in your organization? Note: n = 674-698. Percentages do not total 100% due to rounding.  Data sorted by first column.
What is your level of agreement with the following statement: " I am comfortable with what I know about the new health care reform law. " ,[object Object],Note: July 2010 data are from SHRM Poll:  Organizations’ Response to Health Care Reform—Challenges and Actions.
What is your level of agreement with the following statement: " I am comfortable with my level of knowledge about the CLASS Act provision (government-run long-term care insurance) in the health care reform law. " Note: n = 678  ,[object Object]
What  resources  is your organization currently using in regard to the health care reform law? Note: Percentages do not total 100% as multiple responses were allowed. Respondents were allowed to select their top two options. July 2010 data are from SHRM Poll:  Organizations’ Response to Health Care Reform—Challenges and Actions .
What  resources  is your organization currently using in regard to the health care reform law? ,[object Object],[object Object],[object Object],Comparison by Organization Staff Size Smaller Organizations Larger Organizations Differences Based on Organization Staff Size ,[object Object],[object Object],[object Object],[object Object],Smaller organizations > larger organizations Smaller Organizations Larger Organizations Differences Based on Organization Staff Size ,[object Object],[object Object],[object Object],[object Object],Larger organizations > smaller organizations Smaller Organizations Larger Organizations Differences Based on Organization Staff Size ,[object Object],[object Object],[object Object],[object Object],Smaller organizations > larger organizations
What  resources  is your organization currently using in regard to the health care reform law? ,[object Object],[object Object],Comparison by Organization Staff Size (continued) Smaller Organizations Larger Organizations Differences Based on Organization Staff Size ,[object Object],[object Object],[object Object],Larger organizations > smaller organizations Smaller Organizations Larger Organizations Differences Based on Organization Staff Size ,[object Object],[object Object],[object Object],Larger organizations > smaller organizations
What  resources  is your organization currently using in regard to the health care reform law? Comparison by Selected Organizational Demographics Note: Blank cell indicates that there were no significant differences in this category. Differences Based on Organization Sector Differences Based on Organization’s Operations Location Differences Based on Medical Benefit Funding Differences Based on Union Status Insurance broker Privately owned for-profits (80%) & nonprofits (74%)  > publicly owned for-profits (53%) & government (47%) U.S.-based only organizations (72%)  > multinational operations (58%) Insured (81%) > self-insured (59%) Non-unionized (72%) > Unionized (55%) SHRM’s resources on the new health care reform law Nonprofits (53%) > publicly owned for-profits (36%)  U.S.-based only organizations (52%)  > multinational operations (37%) Insured (56%) > self-insured (41%) Non-unionized (50%) > Unionized (40%) Legal counsel (internal or external) Publicly owned for-profits (61%) > privately owned for-profits (45%)  Multinational operations (57%) > U.S.-based only organizations (47%) Self-insured (60%) > insured (37%) Consultants Publicly owned for-profits (60%) > privately owned for-profits (33%) Multinational operations (54%) > U.S.-based only organizations (41%) Self-insured (56%) > insured (30%) Unionized (55%) > non-unionized (42%) Internal experts Multinational operations (38%) > U.S.-based only organizations (27%) Self-insured (34%) > insured (23%)
If you use an insurance broker or third-party administrator to help you understand the health care reform law, we would like to understand the primary direction of contacts made between you and the agent. Please select the option below that best characterizes how this process has worked for your organization: Note: n = 619
[object Object],[object Object],If you use an insurance broker or third-party administrator to help you understand the health care reform law, we would like to understand the primary direction of contacts made between you and the agent. Please select the option below that best characterizes how this process has worked for your organization: Comparison by Organization’s Staff Size, Sector and Medical Benefit Funding Smaller Organizations Larger Organizations Differences Based on Organization Staff Size ,[object Object],[object Object],Smaller organizations > larger organizations Differences Based on Medical Benefit Funding We have not used an insurance broker or third-party administrator to help us understand the health care reform law  Self-insured (18%) > insured (9%) The broker or third-party administrator  contacts us about as frequently as we contact them  Self-insured (39%) > insured (31%) The broker or third-party administrator contacts us; we do reach out to them on occasion, but somewhat less frequently than they do. Insured (22%) > self-insured (13%)
How is your organization’s primary medical benefit currently funded? Note: n = 660
How is your organization’s primary medical benefit currently funded? ,[object Object],[object Object],[object Object],Comparison by Organization’s Staff Size, Operations Location, Sector Smaller Organizations Larger Organizations Differences Based on Organization Staff Size ,[object Object],[object Object],[object Object],[object Object],Larger organizations > smaller organizations
Demographics: Organization Industry Note: n = 652 Industry Manufacturing—other  17% Health care, social assistance (e.g., nursing homes, EAP providers)  14% Government/public administration—federal, state/local, tribal  8% Services—professional, scientific, technical, legal, engineering  8% Financial services (e.g., banking)  6% Educational services/education  6% Retail/wholesale trade  4% Construction, mining, oil and gas  4% Other services (e.g., nonprofit, church/religious organizations)  4%
Demographics: Organization Industry (continued) Note: n = 652 Industry Transportation, warehousing (e.g., distribution) 4% Insurance  3% High-tech  3% Utilities  3% Manufacturing—auto/auto-related  3% Services—accommodation, food and drinking places  2% Telecommunications  2% Arts, entertainment, recreation  2% Real estate, rental, leasing  2% Consulting  1% Biotech  1% Publishing, broadcasting, other media 1% Association—professional/trade  1% Pharmaceutical  0% Other 1%
Demographics: Organization Sector Note: n = 651
Demographics: Organization Staff Size Note: n = 580. Percentages do not total 100% due to rounding.
Demographics: Other  Note: n = 665 Is your organization a single-unit company or a multi-unit company? Are HR policies and practices determined by the multi-unit corporate headquarters, by each work location or both? Does organization have U.S.-based  operations (business units) only or  does it operate multinationally? Note: n = 657 Note: n = 480 ,[object Object],Note: n = 650 U.S.-based operations 72% Multinational operations 28% Single-unit company: A company in which the location and the company are one and the same. 30% Multi-unit company: A company that has more than one location. 70% Multi-unit headquarters determines HR policies and practices 56% Each work location determines HR policies and practices 3% A combination of both the work location and the multi-unit headquarters determine HR policies and practices 41%
SHRM Poll :  Health Care Reform –  Poll 3 ,[object Object],[object Object],[object Object],[object Object],Methodology For more poll findings, visit:  www.shrm.org/surveys Follow us on Twitter:  http://twitter.com/SHRM_Research

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Shrm poll health_care3final

  • 1. February 7, 2011 SHRM Poll: Health Care Reform: Where Are Organizations in the Decision-Making Process?
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  • 5. Is your organization engaging in an analysis to determine the impact of the new health care reform law on your health care plan? Comparison by Medical Benefit Funding Organizations with self-insured plans were more likely to have already conducted analysis and decided NOT to drop health care coverage. Differences Based on Medical Benefit Funding Already conducted an analysis and decided not to drop health care coverage Self-insured (33%) > insured (20%) Will not conduct an analysis and already decided we will not drop health care coverage Insured (31%) > self-insured (18%) Unsure at this time Insured (26%) > self-insured (18%)
  • 6. Is your organization waiting to make any health care plan decisions based on any of the following factors? Note: n = 617-674. Percentages do not total 100% due to rounding. Data sorted by “Yes” column. Yes No Don’t know Regulatory guidance or information on specific provisions in the health care reform law 48% 42% 10% Changes to specific provisions in the health care reform law 32% 57% 11% Repeal of specific provisions of the health care reform law 24% 64% 12% Repeal of the entire health care reform law 13% 75% 12% Other factors 13% 53% 35%
  • 7. Is your organization waiting to make any health care plan decisions based on any of the following factors? Comparison by Medical Benefit Funding Differences Based on Medical Benefit Funding Regulatory guidance or information on specific provisions in the health care reform law Self-insured (54%) > insured (42%) Changes to specific provisions in the health care reform law Self-insured (36%) > insured (28%)
  • 8. For the following provisions of the health care reform law, what do you see as the main implementation barrier in your organization? Note: n = 674-698. Percentages do not total 100% due to rounding. Data sorted by first column.
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  • 11. What resources is your organization currently using in regard to the health care reform law? Note: Percentages do not total 100% as multiple responses were allowed. Respondents were allowed to select their top two options. July 2010 data are from SHRM Poll: Organizations’ Response to Health Care Reform—Challenges and Actions .
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  • 14. What resources is your organization currently using in regard to the health care reform law? Comparison by Selected Organizational Demographics Note: Blank cell indicates that there were no significant differences in this category. Differences Based on Organization Sector Differences Based on Organization’s Operations Location Differences Based on Medical Benefit Funding Differences Based on Union Status Insurance broker Privately owned for-profits (80%) & nonprofits (74%) > publicly owned for-profits (53%) & government (47%) U.S.-based only organizations (72%) > multinational operations (58%) Insured (81%) > self-insured (59%) Non-unionized (72%) > Unionized (55%) SHRM’s resources on the new health care reform law Nonprofits (53%) > publicly owned for-profits (36%) U.S.-based only organizations (52%) > multinational operations (37%) Insured (56%) > self-insured (41%) Non-unionized (50%) > Unionized (40%) Legal counsel (internal or external) Publicly owned for-profits (61%) > privately owned for-profits (45%) Multinational operations (57%) > U.S.-based only organizations (47%) Self-insured (60%) > insured (37%) Consultants Publicly owned for-profits (60%) > privately owned for-profits (33%) Multinational operations (54%) > U.S.-based only organizations (41%) Self-insured (56%) > insured (30%) Unionized (55%) > non-unionized (42%) Internal experts Multinational operations (38%) > U.S.-based only organizations (27%) Self-insured (34%) > insured (23%)
  • 15. If you use an insurance broker or third-party administrator to help you understand the health care reform law, we would like to understand the primary direction of contacts made between you and the agent. Please select the option below that best characterizes how this process has worked for your organization: Note: n = 619
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  • 17. How is your organization’s primary medical benefit currently funded? Note: n = 660
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  • 19. Demographics: Organization Industry Note: n = 652 Industry Manufacturing—other 17% Health care, social assistance (e.g., nursing homes, EAP providers) 14% Government/public administration—federal, state/local, tribal 8% Services—professional, scientific, technical, legal, engineering 8% Financial services (e.g., banking) 6% Educational services/education 6% Retail/wholesale trade 4% Construction, mining, oil and gas 4% Other services (e.g., nonprofit, church/religious organizations) 4%
  • 20. Demographics: Organization Industry (continued) Note: n = 652 Industry Transportation, warehousing (e.g., distribution) 4% Insurance 3% High-tech 3% Utilities 3% Manufacturing—auto/auto-related 3% Services—accommodation, food and drinking places 2% Telecommunications 2% Arts, entertainment, recreation 2% Real estate, rental, leasing 2% Consulting 1% Biotech 1% Publishing, broadcasting, other media 1% Association—professional/trade 1% Pharmaceutical 0% Other 1%
  • 22. Demographics: Organization Staff Size Note: n = 580. Percentages do not total 100% due to rounding.
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