Tag Archives: Trump

Donald Trump’s Healthcare Plan

The amazing thing is that nobody really knows what Donald Trump’s Healthcare plan entails.

House Speaker Paul Ryan has suggested a more detailed plan called A Better Way. He suggests the following: –

Protection for Patients

His plan will ensure that no American can be rejected by a Health Insurer. This is regardless of health status.

Practical Reforms

Dependents up to the age of 26 would be able to remain on their parents’ plan. Such a reform would therefore help younger Americans to receive healthcare coverage. This would furthermore stabilize the market. The practice of imposing lifetime limits on individual coverage would be stopped.

Coverage Protection

Insurers will not be allowed to unfairly overturn any American’s healthcare protection due to the insured’s failing health.

Continuous Coverage Protection

If a person suffers a serious health episode, he or she would not be debited more than standard rates. This safeguard  thus applies to all who remain enrolled in a health insurance plan. It applies even if the individual is switching from employer based health insurance to the individual market.

Legal provision was made in 1996 that offers pre-existing condition safeguards when an insured moves from one job to another. Insurers would rate individuals each time they enrolled in a new plan. The result was a hike in premium costs for individuals and families.

The 1996 HIPAA (Health Insurance Portability and Accountability Act) encourages Americans to enrol in health insurance and remain enrolled.

Fair Premiums

A plan to ensure reasonable premiums is to fix the age-rating ratio. In Donald Trump’s Healthcare plan, premium amounts are adjusted according to an individual’s age. The cost of an older individual’s plan should not exceed five times that of the premium of a younger person.

Before 2010 most states were using this five-to-one ratio. Obamacare mandates a three-to-one ratio. This ratio is leading to insurance pools with older, sickly people. Furthermore, younger and healthier Americans are being discouraged from enrolling in the insurance market. States would be allowed to adjust this ratio according to their residents’ needs and wants. Young people would thus be encouraged to purchase and maintain health insurance.

State Innovation Grants

First proposed in 2009, this plan provides a minimum of $25 billion for State Innovation Grants. These grants may be given to States for developing effective reforms.  This makes health insurance more affordable and accessible. Certain targets must be achieved in the following areas: reduction of individual premiums, small group premiums and the number of uninsured in the State. Grants are rewarded on a sliding scale. This concept has been shown to reduce costs.

One-time Open Enrolment

This fair plan gives the uninsured person the opportunity to join the health insurance sector, regardless of their state of health. All options are available. Should an individual not enrol at this time, he/she/they may enrol at some future date.  However continuous  coverage protection will be forfeited.     Increased coverage costs will be incurred.

Protecting Life and Conscience Rights

Conscience Protectors

Doctors, nurses, hospitals and other healthcare providers are given protection from unfairness and intimidation when exercising their conscience. The Weldon Amendment approves this safeguard annually. States which victimize any individual or entity in this manner are barred from receiving federal funding.

Ensuring Taxpayer Dollars are Not Used to End Life

This provision known as the Hyde Amendment ensures that taxpayer dollars are not used to fund the cost of abortion. Obamacare broke this bipartisan agreement. Paul Ryan’s health insurance proposal would protect taxpayer dollars by abiding by the Hyde Amendment.

 

 

Trump seeks help with Obamacare

Trump seeks help with Obamacare. Healthcare is one of his top priorities.  He had this in his campaign promises. He wants help therefore as details of his “repeal and replace Obamacare” plan have not yet been released

Especially relevant the President wants to expand healthcare savings accounts. Furthermore these are tax savings accounts. As Trump seeks help he said healthcare should be available across state lines. He said also that states should have more flexibility as well.

President Trump was unsure how these ideas would be carried out. He was unclear how Medicaid expansion would be changed. Tom Price was therefore chosen to ensure a smooth transition from Obamacare to a new plan.

Unfortunately Tom Price, confirmed as secretary of health and human services is setting off national alarm bells. Price has shown himself to be pro-big-business and disrespectful of human needs.

This is furthermore particularly true however when it comes to women’s and poor people’s needs.

Price is hostile to traditional to traditional Medicare. Paul Ryan and Tom Price pushed for “premium support”. This means that seniors would exchange their guaranteed health coverage under traditional Medicare for a lump sum. Seniors and poor people could use this lump sum to go out shopping for a healthcare policy in the private insurance market.

The Commander-in-Chief asked the nation’s governors to support him. Obamacare gave health insurance to 20 million Americans. It has been popular in many states. However, it has been criticised because of steep premiums.

Tom Price told Governors that the revised healthcare plan would be ready in three to four weeks. The main topic was Medicaid during the meeting with the Governors. Medicaid provides health coverage for the poor. Therefore the Governors hoped that Medicaid should be maintained.

The Republicans therefore realise how complicated it may be to repeal and replace the Affordable Care Act. There is fear that if the plan fails, Trump will blame Republicans.

Tom Price and Paul Ryan have a plan which would mean the beginning of the end.

What Will A Trump Presidency Mean for Healthcare IT Systems?

John Halamka served in both the Bush and Obama administrations, and has several ideas about what the Trump era means for healthcare information systems. Here are some of his notions of what happens next:

  1. More funds available for innovation (due to reduced taxes)
  2. Elimination of some regulations
  3. Free market competition increases, political infighting around Medicare drug price negotiation decreases
  4. Repatriation of offshore tax dollars creates inflow of cash
  5. Streamlining of the Affordable Care Act (aka Obamacare): “it’s likely that it will simply be amended to reduce the focus on health insurance exchanges.  There will be no public option for health coverage.   Private payers will be encouraged to offer products across state lines.   Pre-existing conditions will still be covered.   Children will be covered on their parents health plans until age 26.”
  6. States benefit from Medicaid reforms and cost savings
  7. Reduced FDA scrutiny of new products
  8. FTC enforcement actions relaxed
  9. NIH funding might be cut
  10. The transition from fee for service to value-based purchasing continues

John provides this advice:

remain agile, keep calm, and assume that many Obama-era health care IT programs will persist.    Focus on reducing total medical expense, measuring quality across the community, providing stakeholders with tools that are valuable to them, spreading the burden of data capture among teams of caregivers, and enhancing interoperability.