Small and mid-sized employers will be hit hardest financially when complying with provisions in the Patient Protection and Affordable Care Act. But larger employers, says a new report, won't be as affected as some have predicted.  

In general—despite employer fears—the provisions of health reform haven't yet made a strong financial impact on most businesses, says the 2012 employer survey conducted by the Midwest Business Group on Health and co-sponsored by the National Business Coalition on Health, Business Insurance and Workforce Management.

Large employers say the cost impact of the PPACA in 2011—including extending coverage to adult children up to age 26—was less than 2 percent, the survey finds. But the cost impact is higher for small and mid-sized employers, who say their increases were up to 5 percent.

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