December 2024 – The Journal of Healthcare Contracting
I have never been happier that an election is finally over. The messaging, signs, news and angst among my friends and family caused great anxiety. I stayed up all night watching the results come in. I am happy it is over, and that it was decided without objection or conflict.
But I ask myself, what does a second Trump administration mean to our life’s work in healthcare? Here are a few of my thoughts on what we may see.
Trump’s administration would likely revisit and expand on its previous healthcare policies, which focused on reducing federal involvement, increasing market competition, and dismantling portions of the Affordable Care Act (ACA). Here’s what could be expected from a second Trump term and its implications for Americans’ access to healthcare.
Repealing or Altering the ACA
Trump consistently targeted the ACA during his first term, aiming to dismantle its individual mandate and reduce its scope. While the Supreme Court upheld the ACA despite his administration’s efforts, a renewed push to repeal or significantly alter it could resurface. This might involve promoting state-level control of healthcare, block grants for Medicaid, or changes to essential health benefit requirements, potentially leaving millions of Americans at risk of losing coverage.
Focus on Price Transparency and Drug Costs
The Trump administration prioritized price transparency in hospitals and sought to lower prescription drug costs. A second term might amplify these efforts, pushing for broader implementation of regulations that require healthcare providers to disclose pricing upfront. While proponents argue this could empower consumers, critics caution that transparency alone may not address systemic affordability issues.
Medicaid and Public Assistance Programs
A new Trump administration might tighten eligibility requirements for Medicaid, emphasizing work requirements or limiting federal funding. While proponents argue these measures ensure responsible use of public resources, they could disproportionately affect low-income families and individuals with chronic conditions.
Health Savings Accounts (HSAs) and Market-Driven Solutions
Trump’s healthcare strategy has often championed market-driven solutions, including expanded use of HSAs and association health plans. These initiatives aim to provide consumers with more control over their healthcare spending, though critics warn they may leave vulnerable populations underinsured.
The Impact on Public Health
Trump’s handling of public health issues, including the COVID-19 pandemic, highlighted a preference for decentralization and a reduced role for federal agencies. This approach could extend to future public health crises, with states bearing greater responsibility for managing outbreaks.
Ultimately, a new Trump administration could prioritize deregulation, cost reduction, and consumer-driven solutions, reshaping the healthcare system. While these changes may benefit some, others risk facing reduced access and affordability challenges in a more fragmented system.
I have been highly critical of both campaigns not elevating, prioritizing and articulating their intentions for healthcare if they are elected. Now that we have a winner, I sure hope healthcare is elevated and addressed.
I’d love to hear your thoughts! Thanks for reading this issue of the Journal of Healthcare Contracting!