Employers are still figuring out their options for compliance in 2014, according to a panel discussion at a health care conference this week. The 10th World Health Care Congress kicked off Monday in National Harbor, Md., just outside of Washington and the overarching theme in sessions of all kinds was discussions of cost and quality. On the circuit intended for employers, Mark Fogel, head of human resources for the New York-based accounting firm Marcum Group, said his organization is still “grappling” with what to do about the Patient Protection and Affordable Care Act and the new world for employers.

 “Public exchanges have been the topic in the media but private exchanges seem to be the topic for when we’re planning for 2014 and beyond,” Fogel said to a group of employers and carriers in the audience. Fogel emphasized several times that he plans to watch private exchanges and defined-contribution health plans over the next year because variety of options and lower costs for his employees is a goal to remain competitive.

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