Traditionally, small businesses have faced more challenges in providing health benefits to employees, lacking both size for bargaining power and extensive HR resources. (Photo: Getty)

Despite feeling optimistic about the economy, small business owners continue to struggle with the cost of providing health care coverage to their employees, a new study finds.

The report by the Commonwealth Fund was based on surveys, focus groups and interviews of small business owners. The findings indicated that business owners are looking for ways to cut costs and interested in policy changes that would make health care more affordable.

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