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Nearly 100 demonstrators open umbrellas in unison in a symbolic gesture over the proposed expansion of Medicaid coverage last month in front of the Pike Market Medical Clinic in Seattle. AP Photo/Elaine Thompson

For HR managers who have had a front-row seat to some of the more seismic changes in health care benefits in recent years, the latest Robert Wood Johnson Foundation report will sound more than familiar.

Its main findings: the percentage of Americans who receive health insurance through employers has fallen significantly over the last decade — from 69.7 percent nationwide in 2000 to just 59.5 percent in 2011.

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