‘Imperfect but effective’
Care Act, between Jan. 3 and Feb. 1.
A total of 203 opinion leaders from the healthcare delivery, finance and policy fields participated in the survey, the 24th in a series designed to gather opinions from healthcare leaders on timely policy issues.
Premium subsidies had the most support among various components of the healthcare law. A total of 68% of participants described it as “very important” for the government to implement the law’s public funding of private insurance premiums, while an additional 19% of respondents agreed that insurance premium supports were “important.”
Dr. F. Douglas Carr, medical director of education and system initiatives at the Billings (Mont.) Clinic, in an e-mail described such private insurance subsidies and the future solvency of Medicare as “the elephant in the room,” which tightening finances will require future sessions of Congress to address.
Even as congressional Republicans continue to challenge the law legislatively and state attorneys general challenge its components in court, significant combined majorities of healthcare leaders described implementation of various components of the healthcare law as “important” or “very important,” including state insurance exchanges (86%), the individual mandate (84%) and the Center for Medicare and Medicaid Innovation (83%).
“Healthcare leaders look to the ACA as an imperfect but effective vehicle for changing the healthcare delivery system,” Carr said. “They want to build on it, not dismantle it.”
Also, 82% of respondents identified the law’s expansion of Medicaid eligibility to at least 16 million more people as “important” or “very important,” which surprised Dr. Robert Crittenden, a professor of family med-
Carr calls solvency of Medicare “the elephant in the room.”