Managed Healthcare Executive: 4 Top Concerns About ACA Repeal

The repeal of the Affordable Care Act (aka Obamacare) is high on the list of priorities for Donald Trump in the first 100 days of his administration, but not much is certain about what will replace it – and when.

Jill Schwieters, Cielo Healthcare President, sets the tone for Managed Healthcare Executive’s article “Four things to know: Payers’ biggest ACA repeal concerns” by sharing what is on people’s minds regarding the controversial legislation.

Excerpt from the article:

“The biggest fear within the healthcare industry is uncertainty,” says Jill Schwieters, president, Cielo Healthcare. “Healthcare reform has been time-consuming and disruptive in recent years, and it appears this will continue for at least several more years. Thus far, the new administration has not provided many details about how it will replace it. It’s likely that some parts of the ACA will remain, but it’s unclear which ones might stay.”

“When access to affordable healthcare is not available, people tend to postpone getting care until their illness or health problem needs immediate attention. At this point, care typically requires more intensive services subsequently increasing costs and forcing hospitals to shift resources to this broken model again. This is a concern for managed healthcare executives because this use of emergency rooms drives up costs of care and puts additional stress on the healthcare system.”

The other experts quoted go on to share their worries about topics that include the fate of subsidies that help consumers pay for insurance in the individual market, what impact changes to Medicaid will have on managed care companies, and the future of the pre-existing medical conditions provision.