some ACA ramblings

http://www.crainscleveland.com/article/20131027/SUB1/310279980/1007/newsletter12 Hospitals worry they'll be stuck with more bills under Obamacare's high-deductible plans; this article points out that many with high deductible (cheap, bronze) plans will skip out on their costs once they develop an issue that their cheap plan does not cover. Maybe this is why CCF is laying off people? CCF will have insured patients, but if a large portion are "bronze" then they will (often?) either not do expensive care/surgery, or do it and then not pay the bill. We are seeing employers drop hours back to 29 so as to avoid paying a penalty for not covering an employee with 30+ hours. No one knows how the ACA will all shake out, but it will be an interesting process. I just wish my livelihood were not tied up in the mess...