Trump administration issues plan to promote healthcare competition: 7 notes

Emily Rappleye (Twitter) - Print  | 

The Trump administration issued a 119-page manifesto Nov. 3 detailing more than 50 recommendations to promote choice and competition in the U.S. healthcare system.

Here are seven things to know about the report:

1. It is a product of a working group comprising members of HHS and the Departments of Treasury and Labor. It was created as a response to the Oct. 12, 2017, executive order from President Donald Trump.

2. The report describes how various stakeholders, laws and regulations affect the current state of healthcare competition. The conclusion is that healthcare spending is rising, and the administration believes certain regulations are suffocating choice and competition. Its recommendations to reverse course fall under four general areas.

3. The first area is the healthcare workforce. Several key recommendations to promote competition and choice in this arena include:

4. The second area addresses provider markets. Recommendations include:

5. The third area is insurance markets. Recommendations include:

6. The last area aims to make healthcare more consumer-focused. Recommendations include:

7. The report was met with mixed reception from the hospital industry, particularly because it is so sweeping and many of the proposals are familiar. "Too many elements of the Administration’s report resort to the same old bromides that got us here in the first place, and would reverse the progress hospitals and others are hard at work on," said Chip Kahn, president and CEO of the Federation of American Hospitals. Mr. Kahn said FAH does support the overall aim of the report, as well as specific recommendations, such as those that promote telehealth and streamline quality reporting.

American Hospital Association Executive Vice President Tom Nickels said, "Based on our initial read, we are pleased by several of the proposals put forth in today's report, such as those to broaden providers' scope of practice and expand access to telehealth, which will improve access to care for patients." Both groups opposed lifting restrictions on physician-owned hospitals.


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