Department
Organization Development
Date of Paper/Work
Summer 7-9-2019
Degree Name
Doctor of Education in Organization Development (Ed.D.)
Type of Paper/Work
Dissertation
Advisors
David Jamieson, Robert Barnett, Mark Salisbury
Abstract
The Affordable Care Act (ACA) was the signature accomplishment of President Barack Obama in 2010. The ACA was officially launched as active in 2014. The primary objectives of this law is threefold: (1) to reform the private insurance market—especially for individuals and small-group purchasers, (2) to expand Medicaid to the working poor with income up to 133% of the federal poverty level, and (3) to change the way that medical decisions are made. Embedded in the 1296-page ACA are mandates, tax credits, provisions, exemptions, and requirements. Small businesses under 50 employees are affected by the ACA if they approach and eventually breach 50 employees, but there are many more aspects involved when discussing the ACA and small businesses. Specifically, the decision for organizations under 50 employees to offer or not offer health care benefits to its employees is complicated and dependent upon various factors such as cost, regulations, benefits (ROI), and acting upon what is expected as employers. The ACA has challenged employers and employees to examine their respective roles and positions related to providing and receiving health care benefits. Assisting with these discussions is the federal government and the free market. Adding to the decision-making process is the 111th through the 116th United States Congress which is designed to be focused on the best interests of the employee and employer in a free market society. The reactions, organizational implications and responses to the new health care law (ACA) on companies with fewer than 50 employees is interesting and worth learning more about through reading this study.
Keywords
reaction to Affordable Care Act (ACA), organizational implications
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Recommended Citation
Kuhrmeyer, Paul R., "Organizational Implications and Reaction to the Affordable Care Act (ACA) from Firms With Less Than 50 Employees" (2019). Education Doctoral Dissertations in Organization Development. 69.
https://ir.stthomas.edu/caps_ed_orgdev_docdiss/69