ACA Repeal Would Shift Power to Employers

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ACA Repeal Would Shift Power to Employers

Wednesday, April 25th, 2012 - 12:29
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Wednesday, April 25, 2012 - 12:16
Reform will continue with the private sector at the helm

In the event of the Supreme Court striking down the Affordable Care Act, The Associate Press reports that the government will no longer hold the reins, but employers and insurers. Expectations are that costs will be shifted from payers to consumers in the form of higher deductibles and greater penalties, in effect sensitizing customers to the true costs of care. Quality of care will continues to be emphasized with insurers paying more to organizations like ACOs that can hold down costs. Experts also expect that health exchanges will take off in many states, creating more competition and transparency in the insurance market.

While many of these reforms are part of the ACA design, the directive originating from the private sector may make politicians and Americans more comfortable. The downside is that while cost containment will be a major emphasis for employers and profits will be the focus of insurers, the nearly 50 million uninsured will likely be neglected in the process. On the whole, these individuals tend to be less healthy and lower income, making them a less attractive population to insure.