Articles, HDM October 16, 2017

How Tinkering with the ACA Puts Health IT Investments at Risk

by Barry P Chaiken, MD

For more than 70 years the American people witnessed the gradual march of the federal government towards universal healthcare coverage, culminating in the significant decrease in the uninsured in 2017. With a single pen stroke, the current president reversed this bipartisan effort to provide healthcare for all and created havoc for insurance companies participating in the 2018 healthcare market exchanges.

Although we do not know what the new rules will be and how they will impact insurance markets, the wording of the executive order clearly indicates that the agencies are directed to promulgate rules that segment individuals into higher and lower risk pools.

Evidence from programs done by various states over the last 40 years shows that the creation of high-risk pools creates a cost-prohibitive cohort that makes premiums unaffordable and government subsidies unacceptable.

Excerpts from: How Tinkering with the ACA Puts Health IT Investments at RIsk. Health Data Management, October 16, 2017

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