Overall, the results were split when respondents identified which Supreme Court decision would have been most beneficial to their organization. The data showed that 46 percent felt the best possible decision for their organization would have been the full PPACA being thrown out, while 41 percent said the best decision was the law being upheld. Another 12 percent of organizations would have liked the individual mandate overturned, but the remainder of the PPACA to stay intact.

As for actions employers are taking on increasing health care costs, 49 percent of the organizations are shifting their attention to wellness, while 32 percent are focusing on consumer-driven health plans, 27 percent will shift costs to employees and 26 percent will focus on value-based health care.

 "As we have consistently seen in our recent research, half of the respondents feel that wellness and value-based health care programs are the most viable options for competitive organizations concerned with escalating health care costs," says Michael Wilson, International Foundation CEO.

 "We're not surprised by these findings since our recent wellness survey told us that seven in 10 U.S. employers offer wellness programs," says Paul Hackleman, International Foundation Health Care and Public Employer Analyst. "As one of the foundation's major initiatives, value-based health care is gaining more acceptance, and, we'll continue to work with our members to help implement these programs."

Most organizations have been keeping current with the legislative aspects of the PPACA and some are already prepared for future provisions. In fact, 78 percent of the respondents are extremely or very far along in terms of complying with current PPACA provisions, while 60 percent are extremely or very far along with preparing for future PPACA provisions.

While the research showed that the Court's decision instilled employers with more confidence, 74 percent said that the upcoming elections in the fall will impact their willingness to make health care decisions now, says Julie Stich, the International Foundation's director of research.

Interestingly, organizations in states that have already implemented health care exchanges are generally more satisfied with the Supreme Court's decision (47 percent to 35 percent of respondents in states that haven't implemented), and are more prepared with current provisions (47 percent to 36 percent) and more likely to continue coverage in 2014 (56 percent to 42 percent).

The survey was administered on June 28 to measure organizations' reactions to the landmark decision. Responses were received from 1,122 plan administrators, trustees and organizational representatives.