Industry Updates

We have been taking a little time off to get ahead of the ACA repeal plan and helping clients build new opportunities for the future. We have also posted the Congressional Budget Report released 1/17/2017 scoring the costs and savings of portions of Obamacare repeal on our website for you review.

2016 was busy with new and existing clients. Our background in working with physicians and healthcare organizations for over 40 years has been immensely helpful and it has been satisfying to see physicians take the lead in their communities to get ahead of reform and build sustainable strategies.

Highlights of our past year include:

In a Q&A style blog article, Mark Miller of RetirementRevised outlines how Medicare "modernization" proposals under a GOP majority government will affect enrollees.

Click here to be directed to the article on

How Repealing Portions of the Affordable Care Act Would Affect Health Insurance Coverage and Premiums.

Click here to download the Congressional Budget Office's January 2017 article discussing the ways that repealing portions of the ACA will affect health insurance coverage and premiums.


Client Advisory on what we know so far.

Our Team has sat through several sessions including with members of the Trump transition team, Deloitte, McDermott, Will, and reviewed as many blogs from experts as we could find on both sides of the aisle. While there is definitely an advantage for Trump to not answer definitive questions there are some strategies now moving forward that will change the ACA.

Our conclusion is that Trump will try to repeal the ACA using Reconciliation instead of a vote. A vote requires 60 members of the Senate to agree and the GOP, while dominate, does not have the votes. Reconciliation requires 51 and they already have experience getting this process through the Senate with HR 3752, but it was vetoed by Obama. This represents a blueprint for what will happen. Reconciliation has its limits however, and that is the points in the law that would be changed can only be changed if they are items of current or future revenue.

Building upon experience from the Pioneer ACO Model and the Medicare Shared Savings Program (Shared Savings Program), the Next Generation ACO Model offers a new opportunity in accountable care—one that sets predictable financial targets, enables providers and beneficiaries greater opportunities to coordinate care, and aims to attain the highest quality standards of care.