End of Per Diem? End of Per Diem? - pg.3 | allnurses

End of Per Diem? - page 3

I am not a per diem nurse, however, the large hospital organization that work for is ending per diem nursing, presumably at the beginning of the next year. We have been told that all hospitals are... Read More

  1. Visit  xoemmylouox profile page
    1
    Again.. Just another blame game tactic..
    morte likes this.
  2. Visit  exit96 profile page
    0
    I do know that the Hospital (Health System) I work for, which is a big one, no longer differentiates between floor RN wages and per diem. No perks for per diem here....interesting topic.
  3. Visit  guestnurse profile page
    0
    Yes..it is Obamacare's fault! My hospital is cutting my prn hours down to 2 shifts a week starting Jan 1, 2014. I normally work 4 shifts a week..at least! sometimes 5! I can't live off 2 shifts a week. They are doing this to prevent being penalized by Obamacare, which mandates they provide me healthcare insurance if I work more than 30 hrs a week. I don't want their insurance! I have my own! I want to earn more money an hour and pay my bills.
  4. Visit  xoemmylouox profile page
    0
    Quote from guestnurse
    Yes..it is Obamacare's fault! My hospital is cutting my prn hours down to 2 shifts a week starting Jan 1, 2014. I normally work 4 shifts a week..at least! sometimes 5! I can't live off 2 shifts a week. They are doing this to prevent being penalized by Obamacare, which mandates they provide me healthcare insurance if I work more than 30 hrs a week. I don't want their insurance! I have my own! I want to earn more money an hour and pay my bills.
    This is just ignorance about what healthcare reform requires. Your employer won't be punished for not providing you with insurance if you have your own. They would be punished if you worked a certain amount of hours and they didn't offer you insurance.
  5. Visit  Bezoars profile page
    0
    Our hospital is talking about the same thing. We are in the southeast. They are saying it's due to Obamacare. Apparently the hospital will have to offer insurance to anyone working a certain number of hours and per diem isn't excluded. Takes effect 2014? I don't know, but all the managers here are having meetings about it and talking about getting rid of their per diem or controlling their hours significantly.
  6. Visit  Bezoars profile page
    0
    Call it ignorance or lack of information all you want... but these hospitals have huge law teams on their service and manage money down to the last bandaid. I think if there was not a reason to worry, they wouldn't. The fact that so many are talking about it, speaks volumes.
  7. Visit  Roxie-h profile page
    1
    According to the hospital system I work for, the provision in the affordable care act states that any employee working more than 800 hours/year must receive benefits. (this is not full time, it is only a little over 15 hours/week) At my hospital the prn's have been told that they are only allowed to work three shifts/2 week pay period. Supposedly when they hit 800 hours they can not be scheduled anymore that year. If I were prn I would shoot for hitting the 800 hour mark before my holiday rotation rolls around!
    Maritimer likes this.
  8. Visit  Roxie-h profile page
    0
    We are no longer hiring or replacing prn's. Not sure how we will flex up and down without them. It really is too bad and yes, it is definitely due to a provision in the affordable care act...aka. Obamacare.
    Last edit by Roxie-h on Jun 17, '13 : Reason: error
  9. Visit  NicuGal profile page
    0
    I asked today and it is due to the provision that people have to receive benefits after 800 hours. I'm not sure how this is all going to play out, especially if you are covered under your spouses private insurance.
  10. Visit  morte profile page
    0
    I would wonder if the law reads "must provide", or must offer?
  11. Visit  emtb2rn profile page
    0
    In my area of NJ per-diems are still being hired and there hasn't been any talk of reducing hours.

    Need to check the ACA, I think the operative word is "offer".
  12. Visit  NRSKarenRN profile page
    0
    Our PA health system has always offered those working 24hrs/wk full health insurance and partial time off benefits, so not an issue.
  13. Visit  dudette10 profile page
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    I have done some research on the ACA, and apparently, the change goes into effect 1/1/14. All employees working more than 30 hrs/week on average over the previous 12 month period must be offered affordable health insurance. If any one employee then uses the premium tax credit to buy their own insurance, the onus is on the employer to prove that health insurance was offered to that specific employee. If the employer cannot prove it, the employer will be fined $2000 PER EMPLOYEE (not just the one employee who used the premium tax credit).

    How employers go about complying with these changes is variable.

    There's a whole other set of rules regarding what constitutes "affordable" and fines associated with that.

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