Small Business Health Collaborative

Young woman cafe owner behind the counter with her juicer.Small businesses have long been at a disadvantage in the health insurance market, paying about 18% more on average than large firms for the same policies. In Illinois, they’ve also had to struggle with unpredictable and unreasonable premium increases. But in 2011, some 194,000 small businesses in Illinois were expected to become eligible for substantial tax credits through the Affordable Care Act, making it easier for them to provide employer-sponsored coverage; and starting in 2014, they could buy coverage through the ACA’s Small Business Health Options Program, or SHOP. Most small business owners, however, were unaware of how the ACA’s provisions applied to them, so we launched an educational campaign aimed at them.

We partnered with the Campaign for Better Healthcare and Small Business Majority to assemble information about the SHOP and tax credits for Illinois small businesses. As the Small Business Health Collaborative, we created fact sheets and case studies to help small business owners make smart choices for themselves, their company, and their employees. We worked with the Chicago Department of Business Affairs and Consumer Protection to bring these materials to the attention of small business owners.

The collaborative also joined with the Women’s Business Development Center to survey the health insurance needs and concerns of small businesses in five Midwestern states. They found that only 53% offered health insurance to employees, and more than half reported cost to be a barrier. Respondents overwhelmingly believed that affordable and accessible healthcare is a key consideration to starting and growing a small business.

The work of the Small Business Health Collaborative was supported by the Michael Reese Health Trust.

Visit the project site


See more posts on healthcare

Keep up with the latest from Smart Policy Works
Explore 25 years of change that mattered
Take a look at what we're up to now