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Without getting into the actual politics, I do not see how physicians will benefit from changes proposed by Trump to the ACA. Allowing insurance to compete across state lines sounds like a good way to have more leverage in negotiations with providers (not that most of us have much to begin with). Doing away with the Obamacare exchanges and additional Medicaid assistance will increase the number of uninsured people, for whom we will have the opportunity to provide (more) free service.
If this all comes to pass, weaker physician practices and health care organizations will struggle even more with lower revenues and will be forced into bigger entities, where they will have less say and control and risk losing their culture.
Finally, the MACRA, MIPS, HiTech, Meaningful Use, and all of the regulatory nonsense likely moves forward, unabated. These are secular trends and programs, administered by bureaucrats, and probably survive no matter which party is running the government. Pretty sad all around.
Does anyone read this any other way?
(On the flip side, if taxes are cut, we might benefit by paying lower taxes on this lower income, perhaps a silver lining...)
If this all comes to pass, weaker physician practices and health care organizations will struggle even more with lower revenues and will be forced into bigger entities, where they will have less say and control and risk losing their culture.
Finally, the MACRA, MIPS, HiTech, Meaningful Use, and all of the regulatory nonsense likely moves forward, unabated. These are secular trends and programs, administered by bureaucrats, and probably survive no matter which party is running the government. Pretty sad all around.
Does anyone read this any other way?
(On the flip side, if taxes are cut, we might benefit by paying lower taxes on this lower income, perhaps a silver lining...)
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