Both the Obama administration and critics of the controversial Patient Protection and Affordable Care Act have repeatedly stressed the importance of state flexibility in implementing various improvements to healthcare financing and access. But many healthcare leaders prefer the opposite approach.
Pluralities of participants in the most recent Commonwealth Fund/Modern Healthcare Opinion Leaders Survey urged a stronger federal role and less state flexibility as regulators continue issuing the myriad rules required to implement the 2010 federal law. And outright majorities of respondents supported a more robust federal role than even the law allowed in determining changes in “provider payment methods” and “health insurance market rules.”
“In general, no one thinks it ought to be all federal or all state; they're fairly comfortable with the balance with some wanting a little more role for the federal government,” Karen Davis, president of the Commonwealth Fund, said about the survey's major finding.