ACHP Media Monitoring Report: November 14, 2016

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ACHP in the News: ACHP President and CEO Ceci Connolly discussed health care reform in The Tennessean.

 Trump now seeks to amend ACA
Donald Trump is re-evaluating his initial promise to repeal and replace the Affordable Care Act. Adam Cancryn of Politico reports Trump wants to retain the provisions preventing insurers from denying coverage to those with pre-existing conditions and allowing individuals to stay on their parents’ plans until age 26.

ACA lawsuits may not end under Trump administration
Lawsuits challenging Affordable Care Act (ACA) provisions may continue until the Trump administration formally alters the health law. ACA rule changes could take a significant amount of time, and the government may decide not to defend the existing regulations, Matthew Perlman of Law360 explains. Some experts believe outside groups could keep the lawsuits going until the regulations are formally reversed (subscriber’s content).

Republicans call for quick regulation changes on ACA
Congressional Republicans are moving quickly to remove key components of the Affordable Care Act (ACA). Party leaders have called on President-Elect Trump to rapidly appoint a Health and Human Services (HHS) secretary, who would decide how to implement and enforce regulations of health laws. A full repeal of the ACA will require legislative action and faces hurdles from Democrats in the Senate, writes Susan Cromwell of Reuters. 

Ryan suggests changes to come for Medicare
House Speaker Paul Ryan has said Congress must address the “serious problems” with Medicare when it moves to replace the Affordable Care Act, signaling he may split with President-Elect Donald Trump and support entitlement reform. Ryan has advocated for changes to Medicare and Medicaid that would lower the cost of both programs but also reduce benefits. His A Better Way plan includes several Medicare-related proposals, such as repealing the Independent Payment Advisory Board and expanding Medicare Advantage. Mike DeBonis at The Washington Post has the story.

Paramedics connect patients to mental health services
Community paramedics are helping match individuals with mental health care by redirecting patients from the emergency room directly to psychiatric facilities. Shefali Luthra of Kaiser Health News explains these paramedics receive specialized training to identify issues and intervene in tense situations.

Blog Review

Our weekly Blog Review features insightful posts from around the web and keeps an eye on medical industry and health news via the Trend Watch. This week we review posts discussing if there is a doctor shortage or distribution issue. This week’s Trend Watch compiles posts about health care under the Trump administration.

Shortage of Physicians

We Don’t Have Enough Doctors to Support ObamaCare
The Hill
Many doctors are burned out by a high volume of patients, according to Yale School of Medicine Program for Biomedical Ethics Associate Director Lydia S. Dugdale. If more individuals gain access to health care through the Affordable Care Act, primary doctors could struggle to meet the demand for appointments.

A Doctor Shortage? Let’s Take a Closer Look
The New York Times
Physicians in the United States are poorly distributed, writes Indiana University School of Medicine Professor of Pediatrics Aaron Carroll, M.D. Medicare offers higher reimbursements in cities to compensate for the cost of living, creating an incentive for doctors to live in these regions. There is also an unequal number of generalists and specialists, as physicians who choose to specialize can earn significantly more throughout their careers.

Trend Watch

Trump Administration  

What the Trump Administration Needs to Do About Health Care
Harvard Business Review
Harvard Professor of Business Administration Leemore Dafny, PhD, and Harvard Health Professor Thomas Lee, M.D., lay out three roles the Trump administration must play to protect patients in the health care market if the Affordable Care Act is repealed. Dafny and Lee assert the federal government must: continue regulating and promoting competition; accelerate and expand on developing new payment models that reward quality over quantity; and work with state governments to standardize value-based payments.

The Affordable Care Act in 2017: Challenges for President-Elect Trump and Congress
Commonwealth Foundation
The Commonwealth Foundation calls on President-elect Trump to support provisions promoting universal coverage as part of his health policies. Trump has called for repealing and replacing the Affordable Care Act, which President David Blumenthal, M.D., and Vice President Sarah Collins note would eliminate coverage for 20 million Americans.