Show v I ' t A10— The Herald Journal Logan Utah Sunday June 10 2001 s' ' to run exit ofchoices” Bohme said if premiums continue to climb he may have to cut benefits to emplpyeesbr require them to pay a higher deductible He said he risks losing patients if he passes along rising insurance costs to them “We can raise our fees but it comes to a point where it’s not M - Janet Ttautwein director of policy analysis for the National Association of Health Underwriters said some businesses are reporting premium hikes of as much as 60 permit “It’s going up dramatically” Traotwein said “Business owners foe worried” indusInflation in the health-cain try particularly prescription drugs is driving up premiums and there is growing urgency for health maintenance organizations to show a profit said Michael Sparer associate professor of health policy at Columbia University “As managed care was trying to wend its way into the mainstream of the American health-casystem they had real pressures on diem to keep costs down and I think at times they artificially kept prices down” Sparer said “Now they are trying to recoup them’’ o Distribution which 60 workers used to about employs 75 pay percent of their insurance premiums Ross says but that figure PAYTON Ohio (AP) Ross whose company deans and stores auto parts containers has cut back the share of health insurance he’ pays for his employees Danid Feldkamp and Randy Sowash work days at their year-ol- d photography studio because paying for employee health insurance would be too expensive These Dayton-are- a companies are among the small businesses across foe country that are feeling the effect of rising health insurance costs in a slowing economy Businesses are being forced to reduce coverage shift more of the insurance costs to employees or drop health benefits altogether offi cials say ‘This year is particularly bad for small businesses” said Kate Sullivan director of health-car- e policy for the US Chamber of Commerce Based on complaints she hears and reports that she sees Sullivan figures foe insurance premium increases average 18 percent to 22 percent 14-bo- ur re re Fre-Fl- Dave Forbis are knocking on doors selling ads Sometimes it might not hurt to show the machete As Forbis says “you go in expecting a different attitude and you go away a little disappointed” Whereas Hispanics have embraced Yvette's idea — “Why didn’t I think of that!” they say — Anglos have been characteristically cautious Ads for a year range from $228 for a eighth of a page to $3390 for a full page in color Book Continued from A8 and jiggling images Yvette is understanding more and more what makes a good advertisement With graphic artists at ’ hand she’s not worried about the looks as much as filling the 100 pages or so she’d like to produce “This is going to be a very busy summer” she says She and Steve and their nephew black-and-wh- hours at work “We’d love to jhave extra help here" Feldkamp said “And we is now down to 50 percent We ertopay half of an employee's health care but (foe premium) i so high that they choose to do without Half of them dropped it altogether" Ross said die reduced benefit has scared away many job applicants and forced him to rely more heavily on temporary workers That has hint productivity by requiring more training time “I don’t know what the answer is” he said “We've come up to a wall because we can’t afford to pay any more” Feldkamp and Sowash left their jobs at aMadsfidd Ohio advertis-- 1 ing agency about a year ago to open Visual Edge Imaging Studios a pho tography and graphic arts studio in suburban Beavercreek that turns out magazine covers brochures and catalogs They’re making a profit but the dream of building fodr own business is becoming a nightmare as they all of their waking can’t” Sowash pays $160 a month for his insurance out of his own pocket while Feldkamp is covered by the company that employs his wife Hiring new employees and paying for their health insurance benefits is not currently an option - “These are things we’d like to offer our employees when they step in” Sowash said Richard Bohme owner of foe Siebenthaler Dental Center in Day-to- n provides health insurance for staff ‘about half of After learning his carrier’s urns would rise 30 percent he opted for a higher deductible but costs were still up He ended up switching to a different insurance company that offered lower premiums “It’s just a mg hassle to have to go through” Bohme said “We have to find the lowest cost and best coverage And after a while you’re going hisTO-work- I ’ “Cache Valley is very very conservative Tracy says “It takes a while to make a financial decision It’s a different environment here Wq live in a world of our own I feeL” Coming from Michigan Forbis thought he’d “see a different attitude The Hispanics here are just trying to provide in a Community where they are not getting much support” - Sa &r they have 40 advertisements It may take another printing for the yellow pages to go in the black As Forbis t says “After we get one out it will be totally difthe-firs- cost-effectiv- e” he laid TVautwein said tiiat if businesses absorb the increased costs they have to make cuts elsewhere such as in computers or marketing Some businesses are changing ' insurance companies which may forcb their employees to change doctors Sullivan said Others are shift ing prescription drug costs to their workers Tbe cutbacks hurt recruit ment and retention in competitive labor markets Also Sullivansaid companies want to be able to offer health coverage because studies show that workers with insurance miss fewer days of work and recover from illness faster er Not Beeching IjTitf IflMi lint 1m nt it JI1 ! 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