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President Barack Obama and Health and Human Services Secretary Kathleen Sebelius (AP Photo/Pablo Martinez Monsivais)

Employers are finding that just trying to explain the Patient Protection and Affordable Care Act to employees is one of the costliest ramifications to date.

Helping employees understand PPACA placed right behind the fee employers have to pay for the Patient-Centered Outcomes Research Institute and administrative costs incurred during implementation as the most-expensive single elements related to the law this year.

Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.

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