The pre-existing conditions issue played a central role in the design of the Affordable Care Act, and dealing with this issue appropriately in any ACA replacement plan will be instrumental to the achievement of stable and sustainable individual and small group health insurance markets.
House Speaker Paul Ryan and House Republicans’ June 2016 Better Way health care reform proposals, supported by Representative Tom Price, President-elect Trump’s nominee to head HHS, will surely influence the development of replacement legislation. Consistent with the Better Way, there would appear to be fairly broad support among Congressional Republicans for a replacement plan that at a minimum (1) guarantees that people who maintain continuous coverage can do so at terms that do not reflect health status, (2) provides substantial incentives for people to purchase coverage before needing costly medical care, and (3) provides some form of safety net for those who fail to purchase and maintain coverage.
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The Republican congressional leadership has made a new timetable for gutting the Affordable Care Act, aiming to get legislation done by March or possibly April.
But that doesn’t give insurers much time to meet their first deadline for submitting plans for 2018 on the individual market, which includes the law’s exchanges.
A rule published four days before President Trump took office set the deadlines for insurers to sell health plans on the individual market, which is for people who don’t get insurance through their jobs. Democrats have charged that Republicans will throw the market into chaos by repealing the law without an alternative, with Republicans responding that the markets are already in turmoil.
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It’s an exciting time for our country. With a unified Republican government in place, the coming months are shaping up to be a busy time working to put real solutions in place to help the American people.
At the forefront of the agenda is repealing Obamacare and rebuilding our health care system in order to provide quality health care, at an affordable price, to the citizens of our country. It’s no small task, but one we are committed to doing — and doing right.
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Republicans have been rolling out their suggestions for replacing Obamacare, providing lots of ideas for leadership to draw from but also highlighting intra-party divisions over how it should be done.
Some lawmakers want to provide people with tax credits to buy coverage, while others want deductions. Some House conservatives are suspicious of phasing out Obamacare gradually. And a growing group of senators are stressing that replace must happen at the same time as repeal.
The party is united around the idea that there must be some sort of healthcare reform, but it’s divided over how quickly to repeal the law, how long it should take to phase out and whether a replacement needs to be passed at the same time.
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Tom Price, President Trump’s choice for secretary of Health and Human Services (HHS), has the distinction of being a better fit for the department he’s been picked to lead than any other Trump cabinet nominee. But this hasn’t helped Price gain Senate confirmation.
Price, 62, is an orthopedic surgeon. He ran an orthopedic clinic for 20 years in Atlanta before returning to Emory University, where he had finished his residency, as an assistant professor of orthopedic surgery. He also ran a clinic at Grady Memorial, Atlanta’s largest public hospital.
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President Trump, the House and the Senate have all taken the first steps toward repealing the Affordable Care Act. Yet many critics (and even supporters) of the move share a common concern: With the ACA gone, what comes next?
We hope any replacement plan engages the states as true partners and allows for greater local accountability. Fortunately, there is already a mechanism to let states take the lead — a shift that would generate bipartisan consensus the ACA never achieved.
The Department of Health and Human Services has discretion under the ACA to offer states waivers from many of the law’s most expensive and onerous regulations. The Trump administration can use the waivers to immediately signal its commitment to promoting market competition and empowering patients and consumers. Along with new reforms to promote transparency on pricing and quality, the administration and Congress can facilitate a health care revolution from the ground up.
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President Donald Trump’s administration made explicit this weekend its commitment to an old GOP strategy for managing Medicaid, the federal-state insurance plan that covers low-income people — turning control of the program to states and capping what the federal government spends on it each year.
It’s called “block granting.” Right now, Medicaid, which was expanded under the 2010 health reform to insure more people, covers almost 75 million adults and children. Because it is an entitlement, everyone who qualifies is guaranteed coverage and states and the federal government combine funds to cover the costs. Conservatives have long argued the program would be more efficient if states got a lump sum from the federal government and then managed the program as they saw fit. But others say that would mean less funding for the program —eventually translating into greater challenges in getting care for low-income people.
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It is not a question of whether or not Republicans and Democrats will come to a compromise over replacing Obamacare.
Since it will take 60 Senate votes, and the Republicans only have 52 seats, there is no way we can get to a solution to the Obamacare conundrum without a bipartisan compromise.
So, what might that look like?
We can’t underestimate the fundamental ideological differences between Democrats and Republicans on the entitlements–of which Obamacare is just one.
First, think of an old-fashioned pension plan as a defined benefit plan. The employer promised a set benefit based upon years of service and wages for the rest of the retiree’s life. If the stock market crashed, the employer guarantee would continue. In a defined benefit plan, the sponsor takes the risk of being able to pay the benefits.
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Despite heated congressional hearings on whether Rep. Tom Price should head the U.S. Department of Health and Human Services, President Donald Trump’s promise to “repeal and replace” the Affordable Care Act is already in motion.
On Inauguration Day, Trump signed an executive order urging federal officials to “take all actions consistent with law to minimize the unwarranted economic and regulatory burdens” of the federal health law.” Meanwhile, several Republican plans for a replacement to the law are in the works, including proposals to block grant Medicaid and another that would allow states that embraced the law to maintain it.
The American public appears divided on the law, which has resulted in coverage of more than 20 million people. A Kaiser Family Foundation poll conducted in December found that Americans are evenly divided on the fate of the law — 49 percent of respondents said Congress should vote to repeal it, while 47 percent said they should not. Just one in five agreed with the Republican strategy of repealing the law before creating a replacement. (KHN is an editorially independent service of the foundation.)
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A key GOP senator introduced an Obamacare replacement bill Tuesday, the second such plan put forth in the Senate this week as lawmakers scramble to put their stamp on the nation’s health care system.
Kentucky Sen. Rand Paul introduced the Obamacare Replacement Act, which he says would create more affordable insurance plans, eliminate the gap between private and employer-sponsored care, and allow consumers to save unlimited amounts of money in health savings accounts.
Paul sits on the Senate’s Health, Education, Labor and Pensions Committee, which is expected to play a key role in writing legislation to replace the Affordable Care Act.
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