When Employers Rely On Medicaid To Cover Workers

Butter-flavored popcorn oil is in high demand at Oasis Foods, a manufacturer of cooking oils, mayonnaise and other products that restaurants and distributors often purchase by the ton.

“We get a rush this time of year with all the movie-going at the holidays,” said Duke Gillingham, president of Oasis, at his factory in Hillside, N.J., just west of Newark Liberty International Airport.

The company’s health insurance coverage is not as popular as its popcorn oil. Oasis offered health insurance to all employees for 2015, to comply with a new Affordable Care Act mandate. And while some employees did sign up for the insurance — the company doubled the number of people on its health plan over previous years — about two-thirds of the employees declined the coverage. With monthly premiums of roughly $350 for a family of four, and with a $2,500 annual deductible, it was too expensive for factory workers, many of whom earn between $10 and $15 an hour.

Gillingham said he hasn’t been able to find decent insurance much cheaper than that, and he cannot afford to significantly raise his employees’ wages.

“The sad fact is we’re in a very competitive business,” he said. “We wish we could make [insurance] more affordable, but it’s essentially what the business can bear. If we don’t watch what we’re doing, we can be high-cost, and that doesn’t serve any of the employees well.”

Companies Look To Avoid Penalties

Oasis Foods, a subsidiary of a Swedish food manufacturer, has about 180 workers. As of Jan. 1, smaller firms — those that employ between 51 and 100 workers — are being phased into the same mandate that Oasis faced in 2015. Companies must offer affordable coverage to all employees and will be subject to a penalty if their workers instead turn to the health exchange to buy subsidized coverage.

There’s no penalty for companies, it turns out, if workers qualify for Medicaid — though there could be controversy.

At firms like Oasis, low-wage workers are candidates more often for Medicaid than for the state or federal insurance exchange.

To qualify for Medicaid in a state that expanded the program, applicants may earn no more than 138% of the federal poverty level — or roughly $16,000 for a single person and around $33,000 for a household of four.

Employers have not historically played a significant role in helping workers enroll in Medicaid. But Gillingham’s insurance broker told him about a startup called BeneStream, which is based in New York City and facilitates enrollment in the government program.

Company Shifts Insurance Costs To The Government

Founded two years ago with seed money from the Ford Foundation, BeneStream now helps more than 6,500 workers at 125 companies across the country get Medicaid. CEO Benjamin Geyerhahn said moving workers from private insurance to Medicaid helps firms shift their costs to the government.

“The savings is quite significant,” he said. “Our average is about 250% — so about two-and-a-half times the money you spend on us comes back to you in the form of saved premium.”

Geyerhahn said going onto Medicaid, which is nearly free for employees, is a good deal, though it lacks the generous benefits of more expensive plans. If employees make so little that they’re eligible for Medicaid, he says, they probably can’t afford regular insurance premiums, especially when combined with the high deductibles that undermine much of the benefit of insurance.

“Yes, this (level of coverage) is something that will help them if they get in a car accident or have a heart attack,” he said, “but this isn’t something that’s going to help them manage their health over the course of the year.”

Wal-Mart, McDonald’s and some other large companies have drawn fire for not providing employees with health insurance, instead relying on taxpayers to fund workers’ health needs via Medicaid.

Ken Jacobs, chair of the University of California, Berkeley’s Labor Center, said companies whose workers get Medicaid should bear some of the burden of the cost to taxpayers.

Critics Think Employers Should Pay Bigger Share

“Those employers should be paying more into the general pot that pays for healthcare, rather than putting those costs onto everyone else,” Jacobs said.

California legislators considered imposing a state tax penalty for companies whose workers get Medicaid, but lawmakers ultimately rejected the proposal.

Linda Blumberg, an economist at the Urban Institute, said that whether you are looking at a vast company like Wal-Mart or a modest-sized one like Oasis Foods, compensation is about trade-offs. The more you pay for people’s insurance, the less you have to put in their paychecks.

“When workers are low-income,” Blumberg said, “I would rather that we publicly finance their medical care, make it very accessible to them, have low cost-sharing so that’s not a barrier to them getting necessary care, and let them have a little bit higher wages in order to compensate.”

And even the large increases in the minimum wage currently being contemplated or phased in by several states and cities might still not be enough for those workers to afford most employer-sponsored insurance, given the high premiums and deductibles of such plans.

At Oasis, Gillingham says his company pays a lot in taxes, so getting almost-free healthcare for some workers amounts to a “fair deal.”

He contrasts this system to one he and his family of six experienced in England.

“My kids didn’t suffer from having a five- or six-minute checkup,” he said, compared with doctor visits in the United States — which may have been twice as long, and at much higher expense, but without any noticeable difference in results.

“We didn’t see any of the demons that people speak of when they talk about socialized medicine,” Gillingham said. “There were no lines, no poor standard-of-care.”

But despite being relatively upbeat about government health care, he conceded that Oasis workers so far have given Medicaid mixed reviews. Some doctors and hospitals take the insurance, but many don’t.

Still, that’s true of most health insurance, Gillingham said.

A Gallup poll last month found that 67% of Americans, in general, are satisfied with the country’s healthcare system, compared with 75% of people who are on Medicaid.

“I think the system is evolving,” Gillingham said. “I don’t know where it’s going to go, but I know it’s going to change, and we need to adapt and make use of the system in the best way possible.”

Kaiser Health News is an editorially independent program of the Henry J. Kaiser Family Foundation, a nonprofit, nonpartisan health policy research and communication organization not affiliated with Kaiser Permanente.