Primer: Employer Mandate

The Affordable Care Act’s (ACA) Employer Shared Responsibility provision, commonly referred to as the Employer Mandate, requires all employers with more than 50 employees, or 50 Full Time Equivalents (FTEs), to provide health insurance coverage beginning in 2014. Similar to the law’s individual mandate to carry health insurance, noncompliance carries a fine, levied to help offset the cost of providing insurance coverage in the ACA’s state based insurance exchanges.

No Evidence The Price of Health Services is in Decline or that Spending Growth is Under Control

There has been a lot of talk about “bending the cost curve,” “controlling health care costs,” and the “slow growth of health care costs” in recent years. Unfortunately, these discussions often carry a great deal of imprecision and intermix three very distinct concepts: insurance premiums, health care spending, and the prices of medical services. 

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