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Trump May Slow, Not Stop, Transition to Value-based Care

Analysis  |  By Debra Shute  
   November 17, 2016

Despite uncertainty around the GOP's promise to repeal and replace the Affordable Care Act, MACRA and risk-based payment models could remain intact, says one public policy expert.

Just weeks after physicians received a clearer roadmap for implementation of MACRA, the election of Donald J. Trump has potentially thrown in a detour.

With few details available about the President-elect's plans on healthcare reform, Chet Speed, JD, LLM, vice president of public policy for the American Medical Group Association shared some insights into early response to the election among AMGA members.

The following transcript has been lightly edited.

HealthLeaders Media: What have AMGA members been saying so far about the implications of Trump's election?

Chet Speed: Outside of saying, "Can you believe it's happened?" members are beginning to digest how a fairly aggressive healthcare agenda may impact their operations.

Three-fourths of our members have medical groups, hospitals, post-acute facilities, or health plans—and the impact on each is going to be different.


Obamacare Repeal Likely, But Uncertainty Clouds Alternatives


They're doing a lot of thinking right now, and everything is unpredictable. The concrete [fact] is that Trump campaigned on repealing the ACA. The unknown is what the ACA will look like once it's re-litigated in 2017.

HLM: How might the new administration affect the healthcare industry's transition to value—and MACRA in particular?

Speed: Some of the early thinking, especially for smaller practices and community hospitals who haven't really gotten ready for value yet, is that they're going to slow their efforts in terms of integrating with other practices and looking at how they can save money on the hospital side to work under a value budget.

Debra Shute is the Senior Physicians Editor for HealthLeaders Media.

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