Poll: Public Divided on Repealing Obamacare, But Few Want It Repealed Without Replacement Details

http://connect.kff.org/poll-public-divided-on-repealing-obamacare-but-few-want-it-repealed-without-replacement-details?ecid=ACsprvtG5kIoCbXzcE3WLgrX01kIXFDaDUgXQ0BUzNGGn2gIr2haSAC8OzTQSp0H3e0Qeujg-Q9Y&utm_campaign=KFF-2017-January-Priorities-Tracking-Poll&utm_source=hs_email&utm_medium=email&utm_content=40166809&_hsenc=p2ANqtz-_zwF7NlvPoFINfG9Nd0OPcBebPHjaaSvuWqkCefkoOcmCo9aOPqJHM0W6_uhOAYH4ucOOIuXrEe40HttSNtSg8udNc1A&_hsmi=40166809

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Out-of-Pocket Costs, Not the Affordable Care Act, Top Public’s List of Health Care Priorities for new Administration and Congress

As Congress begins to work on repealing and replacing the Affordable Care Act, the latest Kaiser Health Tracking Poll finds that one in five Americans (20%) support repeal alone, while three quarters either oppose repeal altogether (47%) or want to wait to repeal the law until the replacement plan’s details are known (28%).

Overall, the poll finds that nearly equal shares say that the next Congress should vote to repeal the law (49%) and that it should not vote to repeal it (47%), which mirrors the public’s overall views of the 2010 law (46% view it unfavorably, 43% favorably).

The debate surrounding repeal could influence the public’s views, as the poll finds that some people shift their opinions after hearing counter-arguments.  For example, after hearing pro-repeal arguments about the law’s costs to individuals and the government, the share of the public supporting repeal grows as large as 60 percent, while anti-repeal arguments about people losing coverage and the impact on people with pre-existing conditions decreases support for repeal to as low as 27 percent.

When asked directly about their family’s health care costs, similar shares of the public say repealing the Affordable Care Act would make their situation worse (28%) as say it would make it better (27%). Most say their own ability to get and keep health insurance (55%) and the quality of their own health care (57%) will stay about the same if Congress votes to repeal the law.

Beyond ‘Repeal and Replace,’ Further Health Reforms Loom

http://www.healthleadersmedia.com/leadership/beyond-repeal-and-replace-further-health-reforms-loom?spMailingID=10175220&spUserID=MTY3ODg4NTg1MzQ4S0&spJobID=1080402683&spReportId=MTA4MDQwMjY4MwS2#

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The old saying, “May you live in interesting times,” may sound like a blessing.

U.S. healthcare leaders know it is a curse.

All they’ve been working toward and preparing for since the Patient Protection and Affordable Care Act was enacted almost seven years ago has been turned upside down in the wake of the Republican election sweep.

Yet, for all their campaign promises to repeal the ACA, most congressional Republicans and President-elect Donald Trump must know that healthcare costs are too much for many Americans, and abolishing Obamacare with no replacement could be politically dangerous.

A report from consulting firm KPMG and an opinion piece published on LinkedIn by a Navigant executive predict that the Republican Congress and the executive branch will change the healthcare reform efforts initiated through the ACA, but the concept of value-based care will stay.

Governors signal support for Medicaid expansion

http://www.fiercehealthcare.com/payer/state-governors-signal-support-for-medicaid-expansion?utm_medium=nl&utm_source=internal&mkt_tok=eyJpIjoiTldOaE1qUm1ZMlV6T0dJNCIsInQiOiJVQWx2aDRmUXpsaGlUeEJcL0xFb1ZzcVFpbWp6ak1sU0VmUVY3Sk5BUHduNEVjeXNUUGw5emdwZVR6ajcrR0x1VnB0WFJaMWdWXC9tbG1SeDlEcVUxa3NPTmR5dEFEZ1dMYVFHdU1VOHJJRE1FSjR2ZGd0aEZxYzRLWUo1ckFTWVZ3In0%3D

Some governors—including two Republicans—are voicing support for Medicaid expansion even as lawmakers on Capitol Hill move toward repealing the Affordable Care Act.

In Michigan, Republican Gov. Rick Snyder wants Congress and President-elect Donald Trump to preserve the state’s unique version of Medicaid expansion even in the event of an ACA repeal, The Detroit News reported. The Healthy Michigan plan, which has seen enrollment surge past initial projections, requires recipients to contribute to health savings accounts and allows them to reduce their co-pays through healthy behaviors.

“I think it’s important that as they look at the Affordable Care Act … I hope they carefully look at the success we’ve had in Michigan, because we didn’t just do Medicaid expansion,” Snyder told the publication.

Repealing Federal Health Reform: Economic and Employment Consequences for States

http://www.commonwealthfund.org/publications/issue-briefs/2017/jan/repealing-federal-health-reform?omnicid=EALERT1150318&mid=henrykotula@yahoo.com

The Commonwealth Fund

Abstract

Issue: The incoming Trump administration and Republicans in Congress are seeking to repeal the Affordable Care Act (ACA), likely beginning with the law’s insurance premium tax credits and expansion of Medicaid eligibility. Research shows that the loss of these two provisions would lead to a doubling of the number of uninsured, higher uncompensated care costs for providers, and higher taxes for low-income Americans.

Goal: To determine the state-by-state effect of repeal on employment and economic activity.

Methods: A multistate economic forecasting model (PI+ from Regional Economic Models, Inc.) was used to quantify for each state the effects of the federal spending cuts.

Findings and Conclusions: Repeal results in a $140 billion loss in federal funding for health care in 2019, leading to the loss of 2.6 million jobs (mostly in the private sector) that year across all states. A third of lost jobs are in health care, with the majority in other industries. If replacement policies are not in place, there will be a cumulative $1.5 trillion loss in gross state products and a $2.6 trillion reduction in business output from 2019 to 2023. States and health care providers will be particularly hard hit by the funding cuts.

http://www.commonwealthfund.org/interactives-and-data/maps-and-data/the-impact-of-aca-repeal-on-employment

 

GOP won’t promise ObamaCare fix will cover all

GOP won’t promise ObamaCare fix will cover all

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Republican leaders are refusing to commit to their ObamaCare replacement plan covering as many people as President Obama’s health law.

Congressional Republicans are quickly moving forward to pass a repeal of ObamaCare and say a replacement plan will come later this year.

But it’s unclear whether that eventual replacement will provide insurance options for at least 20 million people, the number who gained coverage under ObamaCare, amid worries that many could lose their health insurance.