Employer tactics designed to better manage their health care costs are grinding them so finely that they continue to elicit new "guidelines" from the Obama administration.

Kaiser Health News offered the latest example of that trend when it looked at new guidance that focused on employers who attempt to offload employees with costly illnesses to the public exchanges.

Kaiser said there've been some instances of employers offering to pay employees who have costly diseases to leave the company plan and obtain coverage on the exchanges. Employers say they'll pay the employees' premiums if these employees agree to obtain exchange insurance.

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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.