2017 had been shaping up as a year focused on fixing the Affordable Care Act's insurance markets, slowing prescription drug price hikes, expanding Medicaid, improving mental healthcare and spreading value-based payment and delivery.
Commentary: Repeal of Affordable Care Act without adequate replacement will drive severe disruptions beyond insurance
Repeal could also have enormous implications for state budgets and hospital payments. Jeopardizing any one of these important things is troublesome enough, but harming all three simultaneously would severely strain the nation's healthcare delivery system.
Some insiders say they are encouraged that GOP leaders are slowly recognizing they need to take steps to shore up the fragile individual insurance market if they repeal the ACA soon after Donald Trump takes office without an immediate replacement.
Ascension CEO Anthony Tersigni is planning to meet this week with President-elect Donald Trump's transition team to give input on healthcare reform. As head of the nation's largest not-for-profit hospital company, Tersigni has used his visibility to advocate for access to affordable care.
“His voting record is just breathtakingly, across-the-board concerning for women's health and families,” said Dr. Anne Davis, consulting medical director at Physicians for Reproductive Health.
Price and Verma would be key to Trump's plan to repeal and replace the ACA. Price's ACA replacement plan would allow people to opt out of Medicare and Medicaid and receive tax credits to buy individual plans. Verma helped craft Indiana's Medicaid expansion, which requires contributions to an HSA.
Healthcare governance experts fear that President-elect Donald Trump's potential conflicts between official duties and private business interests could send a signal to leaders in healthcare and other industries that it's OK to relax their ethical standards.
Some healthcare leaders would welcome plans to turn Medicare into a “premium-support” system that pays a fixed amount per beneficiary, but they want to see more details before they take a side.
As a Donald Trump presidency nears, state lawmakers are readying abortion and reproductive health laws that draw battle lines across the nation.
Many CEOs responding to our post-election survey said they're willing to consider Trump's healthcare reform ideas. But 86% said an ACA repeal should not proceed without a replacement that provides affordable health insurance for all Americans who lack employer-based coverage.
Healthcare interests fighting proposals placed on state ballots by citizen petitions vastly outspent the proponents. And for the most part their media campaigns successfully staved off unwanted changes such as controls on drug prices in California and a single-payer system in Colorado.
"All presidents deserve time to flesh out their vision," says Dr. Bhagwan Satiani Professor of clinical surgery at Ohio State University's School of Medicine Columbus.