Articles, PSQH April 7, 2017

Repeal and Replace: It’s Complicated

by Barry P Chaiken, MD

This past February the President announced that the delivery of healthcare to America’s 300 million residents embraced more complexity that he previously realized. Only a few days before at the annual HIMSS conference former Speaker of the House John Boehner cast doubt on the ability of the President and Congress to repeal the Affordable Care Act (ACA) due to the disruption such a repeal would bring to our healthcare delivery system.

The ACA evolved from tough negotiations among all healthcare stakeholders including physicians, provider organizations, life science companies, payers, and technology vendors. Such negotiations led to both intelligent and imperfect rules and incentives. In turn, the stakeholders adjusted their business models to optimize their revenue while working under the provisions of ACA.

Excerpts from: Replace and Replace: It’s Complicated. PSQH, March/April 2017

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