Now days past Donald Trump’s rise to the nation’s president elect, national nonprofits are digging into what could come out of his health policy. On Wednesday, we got insight from PwC, the Congressional Budget Office, and RAND. Yesterday, the Commonwealth Fund added another piece about the challenges of what’s ahead.
It expresses concern over the strides the industry has made to lower hospital patient readmissions, partly the sign of a shift to value-based care initiatives that have penalized systems for poor outcomes. Here’s the gist:
We hope that the change in government leadership as a result of Tuesday’s election will not alter the nation’s commitment to improving insurance coverage and health care. The recent challenges in the ACA marketplaces are not insurmountable. Policymakers at both the federal and state level have many options for improving the affordability of private health insurance, both in the marketplaces and in workplaces, as well as for promoting competition and consumer choice.
President-elect Trump has proposed repealing the ACA. Researchers at RAND have estimated that a repeal would erase all the coverage gains made over the past six years and increase consumers’ insurance costs. A simple repeal would also end the significant care delivery system changes that the law brought to Medicare and the elimination of new sources of revenue, leading to a $33 billion increase in the federal deficit in 2018. The president-elect has said he believes that everyone should have health coverage. The replacement proposal on his campaign website, however, would not fully remedy the likely loss of insurance by millions of Americans. Any ACA replacement proposal should be measured by how well it ensures access to high-quality, affordable, and efficient care, especially for our most vulnerable populations.