A business client comes to you explaining that the health care costs it pays for its employees are getting out of hand. What is your recommendation? Assuming changing carriers isn't an option, how about increasing the amount that the employee pays or increasing the individual and family deductible?  It 's not a simple economic decision.   Factors that will have to be considered are whether an increase in employee payments will encourage some employees to go without insurance, make it harder to attract new employees, or adversely affect employee morale. The increase in deductible might turn out to be a better move.

The interesting thing is not what is the best decision, but the fact that the accountant's role is changing. Yes the number crunching is still very important, but the accountant's evaluative and consulting abilities are coming into play more.

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