A year ago you probably couldn’t find a Las Vegas bookmaker willing to give odds that the ACA would still be the law of the land in 2018. Turns out that repealing Obamacare and crafting a replacement acceptable to various factions of the GOP is not so easy.
Federal and state officials have moved this year to impose some preparedness requirements on providers that will have an effect in 2018 and years beyond. For instance, CMS’ finalized emergency preparedness rules for health care providers that serve Medicare and Medicaid patients went into effect last month.
Whether in a red or blue state, the state commissioner jobs do require decent working relationships with insurance companies, particularly in precarious times as insurers threaten to leave some areas with no ACA coverage because of poor market conditions or dithering in Washington, D.C.
Some providers will resent less obedient patients, but others will enthusiastically support more individually appropriate solutions and take risks with their patients. It’s likely that the early adopters (most likely the more affluent and educated) will soon become a noticeable minority in some physicians’ offices.
For instance, in the case of Sanford Health’s acquisition of Mid Dakota Clinic in North Dakota, the agency challenged the deal, claiming that the merged entity would control 75% or more of primary care and other health services in the Bismarck–Mandan metropolitan area.