REMAKING THE AFFORDABLE REMAKING THE AFFORDABLE CARE ACT (ACA); THE FUTURE CARE ACT (ACA); THE FUTURE Pauline Vaillancourt Rosenau Management , Policy, and Community Health School of Public Health University of Texas Health Science Center Houston, Texas, USA September 21, 2011 www.prosenau.com Email: [email protected]1 Pauline Rosenau; US Health System Reform 2011
23
Embed
R EMAKING THE A FFORDABLE C ARE A CT (ACA); T HE F UTURE Pauline Vaillancourt Rosenau Management, Policy, and Community Health School of Public Health.
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
REMAKING THE AFFORDABLE REMAKING THE AFFORDABLE CARE ACT (ACA); THE CARE ACT (ACA); THE
FUTUREFUTURE
Pauline Vaillancourt RosenauManagement , Policy, and Community Health
School of Public HealthUniversity of Texas Health Science Center
evidence and policy assessments Employment Compensation
Supreme Court decisions predicted Future of Congressional action – less
predictable 2
Pa
ulin
e R
ose
na
u; U
S H
ea
lth S
ystem
R
efo
rm 2
01
1
ACA IS A PRODUCT OF ACA IS A PRODUCT OF LEADERS, NOT THE PUBLICLEADERS, NOT THE PUBLIC
Public support low all along!Knowledge of the bill has declinedBroad public misinformation, February 2011
20% think the ACA already repealed 26% think if might have been, not sure 52% think it is still the law: February 2011 http://www.kff.org/kaiserpolls/upload/8156-F.pdf
47% say the bill “won’t make much difference” August 2011
Those to benefit most, either don’t know that or say 2014 is “too far away” 3
Pauline Rosenau; US Health System Reform 2011
LIVING WITH THE ACA Wall Street expects agree: “repeal highly
unlikely” Implementation stretches from 2010 to
2020 States to do the heavy lifting – variation
Exchanges Rate increases, etc.
Default 4
Pauline Rosenau; US Health System Reform 2011
FEW FEW STAKEHOLDERS STAKEHOLDERS WANT REPEAL!WANT REPEAL!
Few would benefit: Hospital groups Doctor groups Pharmaceutical manufacturers Employers Health insurers
Prefer to stay with it and make changes rather than repeal and/or start over
5
Pauline Rosenau; US Health System Reform 2011
WHY?WHY?The ACA is the “Law of the
Land” New business model required Costly investment up-front “Not to have it in your
strategic plan would be foolish”
6
Pauline Rosenau; US Health System Reform 2011
Pauline Rosenau; US Health System Reform 2011
7
STATES AS STATES AS “STAKEHOLDERS”“STAKEHOLDERS”
Not like the others Less effective at lobbying
Late “to the table” Politically divided
Court challenges BUT will take the money ….. Governors get lots of flexibility
8
Pauline Rosenau; US Health System Reform 2011
HOW DID THE MD HOW DID THE MD COMMUNITY LINE UPCOMMUNITY LINE UP
Support: AAMC (Association of American Medical
Colleges) AMA – ACOG “qualified support” – “lots to like”