What We Know About TrumpCare

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President Trump has stated on several occasions that he will deliver a replacement plan for the Affordable Care Act following the confirmation of Rep. Tom Price (R-Ga) for the role of Secretary of Health and Human Services (HHS). Many of the specifics have not been shared, but President Trump has hinted to what this plan may include.

Since the November election, the incoming Administration has stated that they are working on a strategy that would ensure a smooth and orderly transition to a market-based healthcare reform system. Several Executive Actions have been signed on the Affordable Care Act (ACA) in addition to how Federal agencies will soon carry out the health reform law.

Prior to coming into office, PresidentTrump shared how his plan to replace the ACA would include insurance for everyone as well as great healthcare provided in a simple, less expensive form. This was to be accomplished via lower deductibles, rather than single payer coverage [1].

On his first day (January 20, 2017) in office, President Trump signed an executive order to lessen the economic burden of the ACA. The order signaled his desire for a prompt repeal. It outlines several actions that would minimize the “unwarranted” economic and regulatory burdens that the law created, providing more flexibility to the States, and establishing a more open healthcare market [2]. It would:

  1. End the individual mandate;
  2. Expand Medicaid waivers and provide states more flexibility to implement healthcare programs
  3. Encourage the creation of interstate insurance markets to “the maximum extent permitted by the law”;
  4. Remove ACA taxes, including some placed on health insurance and pharmaceutical companies, in addition to waiving PPACA taxes, fees, and penalties; and
  5. Grant leaders of the Department of Health and Human Services (HHS) and other agencies to exercise greater discretion. This includes the ability to waive, defer, or grant an exception to any provision that would impose a fiscal burden on a state or place a financial or regulatory burden (cost, fee tax, penalty) on individuals, families, healthcare providers, and patients.

Additionally, during the campaign trail, President Trump stressed several items including blocking Medicaid grants and preserving consumer protections for those individuals with pre-existing conditions:

  • Block Medicaid Grants. By blocking Medicaid grants, the current financial commitment established by the Federal government would be replaced. The new approach would allow the Federal government to provide the States with a set amount of money for low-income health insurance provided through Medicaid. Essentially, this would limit federal spending and help States to regain more control.
  • Consumer Protections for Pre-existing Conditions. The ACA included a number of provisions to ensure consumers would be treated fairly in the marketplace. These became known as the Patient’s Bill of Rights. Among these protections was the provision to end pre-existing condition exclusions. Last month (January 5, 2017), the Department of Health and Human Services (HHS) published a report on how the ACA reformed coverage for people with pre-existing conditions. It cited that up to 133 million non-elderly Americans presently have a pre-existing condition; this includes 67 million females and 66 million males. The report also highlighted how between 2010 and 2014 that the uninsured rate for the pre-existing condition population fell drastically by 22 percent or 3.6 million people.

The views and opinions expressed by the authors on this blog website and those providing comments are theirs alone, and do not reflect the opinions of Softheon, Inc. (dba Welltheos) or any employee thereof.

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Yvonne Villante
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Yvonne Villante

Senior Research Manager, Healthcare Reform at Welltheos
As our Senior Research Manager, I work closely with our Solution Architect, Product Management, and Sales teams. My role centers around competitive and market analyses, constructing premium content (whitepapers, research briefs, infographics), curating stories for our newsletters, and blogging.

I earned my BAA from the State University of New York at Stony Brook and MBA in Healthcare Administration from the University of Ohio (Athens). I was born and raised on Long Island, NY and enjoy capturing what the island has to offer through photography.
Yvonne Villante
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