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Getting Ready For Health Reform 2020: Republicans' Options For Improving Upon The State Innovation Approach.
1Lanhee J. Chen is the David and Diane Steffy Research Fellow at the Hoover Institution and director of domestic policy studies and a lecturer in the Public Policy Program at Stanford University, in California.
Health Affairs (Project Hope)
|November 17, 2018
Summary
The 2020 election impacts health reform, focusing on the Affordable Care Act (ACA). This analysis examines state-based reform proposals to improve healthcare access and affordability.
Area of Science:
- Health Policy
- Health Economics
- Public Health
Background:
- The 2020 presidential election presents divergent paths for health reform.
- Key differences exist between major party nominees regarding the Affordable Care Act (ACA) and healthcare cost reduction strategies.
Purpose of the Study:
- To analyze the potential impact of the 2020 election on health reform.
- To evaluate state-based reform approaches, specifically the Graham-Cassidy-Heller-Johnson legislation.
- To propose improvements for enhancing coverage affordability and access through state flexibility.
Main Methods:
- Contextualizing the Graham-Cassidy-Heller-Johnson legislation within the broader health reform debate.
- Analyzing the implications of differing candidate stances on the ACA.
- Identifying potential modifications to state-based reform models.
Main Results:
- The Republican nominee's platform suggests replacing the ACA with state-driven innovation.
- The Graham-Cassidy-Heller-Johnson legislation serves as a reference point for state-based reform.
- Improvements are needed to ensure state reforms enhance affordability and access.
Conclusions:
- Future health reform hinges on the 2020 election outcomes.
- State-based approaches require refinement to effectively address coverage gaps and costs.
- Balancing state flexibility with federal standards is crucial for successful health reform.