ACA problem for non-profit home health company:
http://www.jsonline.com/business/personal-care-worker-health-benefits-in-jeopardy-b9950910z1-215457321.html
"Because Independence First employs a large number of people with disabilities, its insurance costs are sky-high — an estimated $11,000 a year for individual coverage.
Under the law, a worker's share of the premium is limited to 9.5% of his or her wage. That works out to a bit less than $2,200 a year for someone who makes $11 an hour and works 40 hours a week.
Providing health benefits could cost Independence First more than $5,000 a year for each full-time worker.
The other option is to pay a penalty of $3,000 for each worker who gets subsidized coverage through the marketplaces known as exchanges.
That works out to $1.4 million for the 470 personal care workers who work more than 30 hours a week — or almost all of Independence First's net income of $1.6 million, on revenue of $35.9 million, last year.
Other organizations and businesses, such as nursing homes, that get most of their revenue from Medicaid could face the same problem.
"It's not just us," said Lee Schulz, president and chief executive officer of Independence First.
Nor is the potential problem limited to Wisconsin.
"There are very few states that aren't going to have this problem," Schulz said.