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Dec 2016 - Perspective - Doc # US41960316

Perspective: Technology Bombards and Trump Cards — What Payers Have and What They Need to React to "ACA Repeal and Replace"

By: Jeff RivkinResearch Director, Payer IT Strategies


This IDC Health Insights Perspective reflects the observations made by IDC Health Insights analysts regarding the evolution and potential change of the Affordable Care Act (ACA). Proposed alterations to ACA have been documented by President-Elect Donald Trump, and IDC hypothesizes that this would enable 5 new concepts and potentially affect 10 existing ACA features.

The Affordable Care Act is multifaceted. IDC, as technology analysts, cannot opine about macroeconomics nor governmental approaches to taxes, subsidies, guaranteed issue, forced employer or consumer participation, and premiums. However, IDC can, inside-out from a payer perspective, foresee changes for exchanges/marketplaces, rating, consumerism, product mix, and how individuals might alternatively pay for insurance and healthcare. As IDC sees those trends, we can propose the technical effect of the election on front-, middle-, and back-office functions inside a payer.

Nimble technology from hundreds of vendors was put in place since 2011. In 2018, governmental mandate will again heavily influence payer budgets. It may be a slow 2017 for technology purchases as things flush out, but as the "repeal and replace ACA" details are worked out, 2018 will continue the bombardment of technology, Trump cards and all.



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