Let’s get cre­ative in craft­ing re­place­ment for the Af­ford­able Care Act

Modern Healthcare - - COMMENT -

Re­gard­ing the ar­ti­cle “Trump signs ex­ec­u­tive or­der as first strike at end­ing Af­ford­able Care Act” (Mod­ern­Health­care.com, Jan. 20), we need to give the Trump ad­min­is­tra­tion a chance, since the Af­ford­able Care Act is not af­ford­able for the pa­tient or the coun­try.

We need to ex­pand Med­i­caid, al­low in­ter­state sale of in­sur­ance and make it easier for new in­sur­ance com­pa­nies to get started. In­sur­ance com­pa­nies are mak­ing money hand over fist, yet peo­ple blame hos­pi­tals for the higher costs. In­sur­ance com­pa­nies won’t pay hos­pi­tals a fair amount, deny half of claims, and pay top ex­ec­u­tives ex­ces­sive amounts. Much of this can be fixed through greater use of health sav­ings ac­counts, which you can carry over for years and let the pa­tient go out and find the best prices. We have to get cre­ative. Bill Stephens Brent­wood, Tenn.

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