--- title: Trumpcare? description: Affordable Care Act (ACA, sometimes called Obamacare) has been rumored to be repealed during the first 100 days of the Trump administration. image: https://blog.healthmonix.com/hubfs/Images/Photos_and_Misc_Rastars/ew.png --- ![logo-light](https://blog.healthmonix.com/hubfs/logo-light.png "logo-light") - [Who we help](https://healthmonix.com/who-we-help/) - [Overview](https://healthmonix.com/who-we-help/) - [ACOs](https://healthmonix.com/acos/) - [Health systems](https://healthmonix.com/health-system/) - [Healthcare technology](https://healthmonix.com/healthcare-technology/) - [Physician practices](https://healthmonix.com/physician-practice/) - [Health system VPs](https://healthmonix.com/health-system-vice-presidents/) - [Chief financial officers](https://healthmonix.com/chief-financial-officers/) - [Chief medical officers](https://healthmonix.com/chief-medical-officers/) - [Chief quality officers](https://healthmonix.com/chief-quality-officers/) - [ACO executive directors](https://healthmonix.com/aco-executive-directors/) - [Solutions](https://healthmonix.com/prism/) - [MIPSpro](https://healthmonix.com/product/mips-pro/) - [Cost](https://healthmonix.com/product/cost/) - [ACO Impact](https://healthmonix.com/product/aco-impact/) - [Analytics](https://healthmonix.com/product/analytics/) - [Ambulatory Specialty Model](https://healthmonix.com/ambulatory-specialty-model-asm/) - [TEAM](https://healthmonix.com/team-program/) - [HealthConnect](https://healthmonix.com/health-connect/) - [Data integration](https://healthmonix.com/dataintegration/) - [Consulting](https://healthmonix.com/consulting-services/) - [Score optimization](https://healthmonix.com/score-optimization/) - [Patient matching](https://healthmonix.com/patient-deduplication-and-matching/) - [Outcomes](https://healthmonix.com/outcomes/) - [Company](https://healthmonix.com/company/) - [Our story](https://healthmonix.com/company/) - [Team](https://healthmonix.com/team/) - [Careers](https://healthmonix.com/healthmonix-careers/) - [Resources](https://healthmonix.com/resources/) - [Help and support](https://healthmonix.com/customer-support/) - [Healthmonix Advisor](https://blog.healthmonix.com/) - [Webinars](https://healthmonix.com/our-webinars/) - [Educational resources](https://healthmonix.com/mips-education/) - [Help and support](https://healthmonix.com/customer-support/) - [Contact us](https://healthmonix.com/contact-us/) - [Measures](https://healthmonix.com/mips-measures/) - [Quality](https://healthmonix.com/mips-measures/mips-quality-measures/) - [CMS specialty sets](https://healthmonix.com/cms-mips-specialty-measure-sets/) - [Promoting Interoperability](https://healthmonix.com/mips-measures/mips-promoting-interoperability-measures/) - [Improvement Activities](https://healthmonix.com/mips-measures/mips-improvement-activities/) - [Cost](https://healthmonix.com/mips-measures/mips-cost-performance-category/) - [Log in](https://healthmonix.com/login/) # Healthmonix Advisor # Trumpcare? Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on January 19, 2017 ![](https://blog.healthmonix.com/hubfs/Lauren_Image.jpg) Find me on: [Facebook](https://www.facebook.com/Healthmonix-209250179138052/?fref=nf) [LinkedIn](https://www.linkedin.com/in/lauren-patrick-32767) [Twitter](http://www.twitter.com/healthmonix) - [Tweet](https://twitter.com/share) #### **![ew.png](https://blog.healthmonix.com/hs-fs/hubfs/Images/Photos_and_Misc_Rastars/ew.png?width=320&name=ew.png)Medicare for all?** "We’re going to have insurance for everybody,” President-elect Donald Trump told the Washington Post in an interview over the weekend.  "I don’t want single-payer. What I do want is to be able to take care of people.”  So while we hear of Affordable Care Act (ACA, sometimes called Obamacare) repeal during the first 100 days of the administration, it sounds as if new programs must be quickly in the works to meet his mandate. “ The Congress can’t get cold feet because the people will not let that happen,” Trump continued, giving further emphasis to his push (and probably tweets) behind this initiative. Additionally, we hear Mick Mulvany, Trump’s nominee to direct the OMB, say “We have to end Medicare as we know it.”  We see mounting evidence from the new administration that Medicare is in for continuing transformation. #### **So with those mandates, were are we headed?** A major priority is stemming the increasing cost of the Medicare program. So if we are not reducing the number of covered Americans, we will place focus on health savings accounts (HSAs), lower out-of-pocket costs for consumers, and value-based care.  Various plans put forth by prominent Republicans, such as House Speaker Paul Ryan and the nominee to lead HHS, US Representative Tom Price, focus on slowing down spending.  Both parties strongly supported the Medicare Access and CHIP Reauthorization Act (MACRA) passed in 2015.  MACRA creates a framework and incentive to healthcare providers for moving away from fee-for-service.  The reform / repeal of the ACA will not directly impact the implementation of this program, it was launched under a separate legislative initiative and stands with Republican support. This program would need to reformed in its own right, and to date, we have not heard that mentioned. ![health-care-spending-economy.png](https://blog.healthmonix.com/hs-fs/hubfs/Images/Photos_and_Misc_Rastars/health-care-spending-economy.png?width=640&name=health-care-spending-economy.png) The drive to value-based care is going to continue.  There has been bipartisan support for the agenda in Washington through the MACRA proposal and implementation.  Payers as a whole are adopting the value model, and all agree—payers, providers, and consumers—that a common set of metrics across all payers is solely needed.  Medicare is one of the largest payers, whether public or moved to a more private model longer term. The timeframe for the repeal / reform implementation of the ACA is still not determined, as we learn more, we will share it here. [![Subscribe to MIPS Content Notifications](https://no-cache.hubspot.com/cta/default/2017045/c51b955b-3f99-4833-bda2-c0555ec0966d.png)](https://cta-redirect.hubspot.com/cta/redirect/2017045/c51b955b-3f99-4833-bda2-c0555ec0966d)   --- Sources: [https://www.washingtonpost.com/politics/trump-vows-insurance-for-everybody-in-obamacare-replacement-plan/2017/01/15/5f2b1e18-db5d-11e6-ad42-f3375f271c9c\_story.html](https://www.washingtonpost.com/politics/trump-vows-insurance-for-everybody-in-obamacare-replacement-plan/2017/01/15/5f2b1e18-db5d-11e6-ad42-f3375f271c9c_story.html?utm_term=.c352eb53f479) [http://talkingpointsmemo.com/dc/trump-pick-for-omb-director-wants-to-end-medicare-as-we-know-it](http://talkingpointsmemo.com/dc/trump-pick-for-omb-director-wants-to-end-medicare-as-we-know-it) [http://www.huffingtonpost.com/2013/10/03/health-care-costs-\_n\_3998425.html](http://www.huffingtonpost.com/2013/10/03/health-care-costs-_n_3998425.html)  Topics: [Policy](https://blog.healthmonix.com/topic/policy) ### Subscribe Here! ### Search the Healthmonix Advisor - [MACRA & MIPS (132)](https://blog.healthmonix.com/topic/macra-mips) - [Policy (77)](https://blog.healthmonix.com/topic/policy) - [PRO Tips (57)](https://blog.healthmonix.com/topic/pro-tips) - [CMS (34)](https://blog.healthmonix.com/topic/cms) - [Quality Performance Category (32)](https://blog.healthmonix.com/topic/quality-performance-category) - [Industry insights (29)](https://blog.healthmonix.com/topic/industry-insights) - [VBC (20)](https://blog.healthmonix.com/topic/vbc) - [ACO (19)](https://blog.healthmonix.com/topic/aco) - [Healthmonix (19)](https://blog.healthmonix.com/topic/healthmonix) - [MIPS Reporting (19)](https://blog.healthmonix.com/topic/mips-reporting) - [Cost Performance Category (16)](https://blog.healthmonix.com/topic/cost-performance-category) - [Health IT (16)](https://blog.healthmonix.com/topic/health-it) - [APMs (15)](https://blog.healthmonix.com/topic/apms) - [Eligibility (15)](https://blog.healthmonix.com/topic/eligibility) - [Interoperability (14)](https://blog.healthmonix.com/topic/interoperability) - [Value-Based Care (14)](https://blog.healthmonix.com/topic/value-based-care) - [IA Performance Category (11)](https://blog.healthmonix.com/topic/ia-performance-category) - [ROI (11)](https://blog.healthmonix.com/topic/roi) - [COVID-19 (10)](https://blog.healthmonix.com/topic/covid-19) - [ACI Performance Category (9)](https://blog.healthmonix.com/topic/aci-performance-category) - [EHR (9)](https://blog.healthmonix.com/topic/ehr) - [PQRS (9)](https://blog.healthmonix.com/topic/pqrs) - [APM Performance Pathway (7)](https://blog.healthmonix.com/topic/apm-performance-pathway) - [Hospitals & Health Systems (7)](https://blog.healthmonix.com/topic/hospitals-health-systems) - [MIPS CQMs (7)](https://blog.healthmonix.com/topic/mips-cqms) - [PI Performance Category (6)](https://blog.healthmonix.com/topic/pi-performance-category) - [Bundled Payments (5)](https://blog.healthmonix.com/topic/bundled-payments) - [MIPS Value Pathways (5)](https://blog.healthmonix.com/topic/mips-value-pathways) - [Small Practice (5)](https://blog.healthmonix.com/topic/small-practice) - [2021 PFS Proposed Rule (4)](https://blog.healthmonix.com/topic/2021-pfs-proposed-rule) - [Accountable Care Organization (4)](https://blog.healthmonix.com/topic/accountable-care-organization) - [Conference (4)](https://blog.healthmonix.com/topic/conference) - [Physician Compare (4)](https://blog.healthmonix.com/topic/physician-compare) - [2022 PFS Final Rule (3)](https://blog.healthmonix.com/topic/2022-pfs-final-rule) - [APG (3)](https://blog.healthmonix.com/topic/apg) - [Administrative Burden (3)](https://blog.healthmonix.com/topic/administrative-burden) - [RCM (3)](https://blog.healthmonix.com/topic/rcm) - [certified electronic health record technology (3)](https://blog.healthmonix.com/topic/certified-electronic-health-record-technology) - [eCQMs (3)](https://blog.healthmonix.com/topic/ecqms) - [2015 Edition CEHRT (2)](https://blog.healthmonix.com/topic/2015-edition-cehrt) - [2021 PFS Final Rule (2)](https://blog.healthmonix.com/topic/2021-pfs-final-rule) - [2022 PFS Proposed Rule (2)](https://blog.healthmonix.com/topic/2022-pfs-proposed-rule) - [2023 PFS Final Rule (2)](https://blog.healthmonix.com/topic/2023-pfs-final-rule) - [2023 Proposed Rule (2)](https://blog.healthmonix.com/topic/2023-proposed-rule) - [AI (2)](https://blog.healthmonix.com/topic/ai) - [Medicare Shared Savings Program (2)](https://blog.healthmonix.com/topic/medicare-shared-savings-program) - [Merit-based Incentive Payment System (2)](https://blog.healthmonix.com/topic/merit-based-incentive-payment-system) - [Promoting Interoperability (2)](https://blog.healthmonix.com/topic/promoting-interoperability) - [health equity (2)](https://blog.healthmonix.com/topic/health-equity) - [healthcare (2)](https://blog.healthmonix.com/topic/healthcare) - [2015 (1)](https://blog.healthmonix.com/topic/2015) - [2015 Edition Cures Update (1)](https://blog.healthmonix.com/topic/2015-edition-cures-update) - [2015 Edition Cures Update certification (1)](https://blog.healthmonix.com/topic/2015-edition-cures-update-certification) - [2023 MIPS Reporting for Large Practices (1)](https://blog.healthmonix.com/topic/2023-mips-reporting-for-large-practices) - [ACCESS (1)](https://blog.healthmonix.com/topic/access) - [AMGA (1)](https://blog.healthmonix.com/topic/amga) - [Gaps in Care - New Quality Measures (1)](https://blog.healthmonix.com/topic/gaps-in-care-new-quality-measures) - [Health Equity Adjustment (1)](https://blog.healthmonix.com/topic/health-equity-adjustment) - [Improvement Activities (1)](https://blog.healthmonix.com/topic/improvement-activities) - [MIPS Cost (1)](https://blog.healthmonix.com/topic/mips-cost) - [MVPs (1)](https://blog.healthmonix.com/topic/mvps) - [NPPES (1)](https://blog.healthmonix.com/topic/nppes) - [Practice Reopening (1)](https://blog.healthmonix.com/topic/practice-reopening) - [Primary Care First (1)](https://blog.healthmonix.com/topic/primary-care-first) - [Strategic Health IT Partnerships (1)](https://blog.healthmonix.com/topic/strategic-health-it-partnerships) - [billing companies (1)](https://blog.healthmonix.com/topic/billing-companies) - [submission (1)](https://blog.healthmonix.com/topic/submission) - [universal foundation of quality measures (1)](https://blog.healthmonix.com/topic/universal-foundation-of-quality-measures) see all Search ### Recent Posts ## Outcomes focused: Improving the quality and delivery of care ![logo-icon](https://blog.healthmonix.com/hubfs/logo-icon.png "logo-icon") © 2024 Healthmonix. All Rights Reserved.