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N.J. Factory Turns To Medicaid To Insure Lowest-Paid Employees

Jan 1, 2016
Originally published on January 6, 2016 12:55 pm

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," says Duke Gillingham, president of Oasis, at his factory in Hillside, N.J., just west of Newark Liberty 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 says 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 says. "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, applicants may earn no more than 138 percent 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 says moving workers from private insurance to Medicaid helps firms shift their costs to the government.

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

Geyerhahn says 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 says, "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 large companies have drawn fire for not providing employees with health insurance, but instead relying on taxpayers to fund workers' health needs via Medicaid.

Ken Jacobs, chair of the University of California, Berkeley's Labor Center, says 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 health care, rather than putting those costs onto everyone else," he says.

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, says 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 says, "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 health care 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 says, compared with doctor visits in the United States — that 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 says. "There were no lines, no poor standard-of-care."

But despite being relatively upbeat about government healthcare, he concedes 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 says.

A Gallup poll last month found that 67 percent of Americans, in general, are satisfied with the country's health care system, compared with 75 percent of people who are on Medicaid.

"I think the system is evolving," Gillingham says. "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."

This story was produced as part of NPR's partnership with WNYC and Kaiser Health News.

Copyright 2016 WNYC Radio. To see more, visit WNYC Radio.

Transcript

AUDIE CORNISH, HOST:

The start of the new year means that midsize employers must offer health insurance to workers or face a tax penalty. And the mandate has been in place for larger companies since last January, but employees often turn the coverage down because it's too expensive. We're going to hear now about a less-pricey plan, but it doesn't give workers the same benefits as their bosses. Fred Mogul of member station WNYC has the story.

FRED MOGUL, BYLINE: At a factory near Newark, N.J., Oasis Foods produces cooking oil, mayonnaise and other products that restaurants and distributors often purchase by the ton. Company president Duke Gillingham points to a steel vat emitting a familiar fragrance. He says right now, butter-flavored popcorn oil is in high demand.

DUKE GILLINGHAM: We get a rush this time of year with all the movie-going at the holidays.

MOGUL: So maybe some of what's in here is ending up on people's popcorn while they're watching "Star Wars?"

GILLINGHAM: Most definitely.

MOGUL: Gillingham pays close attention to the cost of raw materials, packaging and transportation. And like any employer, his workers payroll is his biggest overall expense, and that, of course, includes insurance, where...

GILLINGHAM: You know, double-digit health care cost increases have been the norm.

MOGUL: The Affordable Care Act required Oasis Foods to offer everyone insurance. That doubled the number of workers the company covers. And yet, around two-thirds of employees said no, thanks. For a family of four, insurance costs about $350 a month and has a $2,500 deductible - a lot of money for factory workers. Gillingham says he hasn't been able to find anything much cheaper than that, and he can only raise wages so much.

GILLINGHAM: The sad fact is that we're in a very competitive business, so if we don't watch what we're doing, we can be high-cost. And that doesn't serve any of the employees well.

MOGUL: Some of the workers who declined coverage are on spouse's health plans. Some are probably uninsured, and some have enrolled in Medicaid with the help of a startup Gillingham hired called Benestream.

(SOUNDBITE OF ARCHIVED RECORDING)

UNIDENTIFIED MAN: Many of your employees and their families may be eligible for better health care provided by the government.

MOGUL: In its animated online ad, Benestream shows cartoon workers and managers being crushed by mountains of insurance paperwork and health care costs until Benestream steps in. CEO Ben Geyerhahn says moving workers from private insurance to Medicaid helps the firms that hire his company.

BEN GEYERHAHN: About two-and-a-half times the money you spend with us comes back to you in the form of saved premium.

MOGUL: Geyerhahn says going on to Medicaid, which is very close to free, is also a good deal for the workers because if they make so little that they're eligible for it, they most likely can't afford regular insurance premiums. Qualifying income for Medicaid is about $16,000 for a single person or 33,000 for a household of four. And those high deductibles they would also pay before conventional coverage really starts, those undermine much of the benefit of insurance.

GEYERHAHN: Yes, this is something that will help them if they get into a car accident or have a heart attack, but this isn't something that's going to help them manage their health over the course of a year.

MOGUL: Walmart, McDonald's and other companies have made headlines for not insuring workers and letting taxpayers pick up their health costs through Medicaid. Ken Jacobs, chair of the UC Berkeley Labor Center says companies whose employees get Medicaid should shoulder some of the government's costs.

KEN JACOBS: Those employers should also be then paying more into the general pot that helps pay for the cost of health care rather than putting those costs on everyone else.

MOGUL: At Oasis Foods, Duke Gillingham says his company pays a lot in taxes, so it's a fair deal to get back almost free health care for some workers for that money. He contrasts this system to one he's experienced elsewhere.

GILLINGHAM: I lived abroad and had access to more socialized medicine.

MOGUL: This was when he and his family of six were in England.

GILLINGHAM: My kids didn't suffer from having a five- or six-minute checkup.

MOGUL: Compared with twice as much doctor time in the United States at much higher cost but without any noticeable difference in results.

GILLINGHAM: We didn't see any of the demons that people speak of when they talk about socialized medicine. There were no lines. There were no poor standard of care.

MOGUL: Gillingham might be more open to government health care than many CEOs, but he acknowledges workers so far have given Medicaid mixed reviews. Some doctors and hospitals take it. Many don't. But he says that's insurance generally. A Gallup poll last month found 67 percent of Americans are satisfied with this country's health care system compared with 75 percent of people with Medicaid. For NPR News in New York, I'm Fred Mogul.

CORNISH: That story's part of a reporting partnership of NPR, WNYC and Kaiser Health News. Transcript provided by NPR, Copyright NPR.