Magazine article Clinical Psychiatry News

Study: ACA Repeal Could Quadruple Uncompensated Care

Magazine article Clinical Psychiatry News

Study: ACA Repeal Could Quadruple Uncompensated Care

Article excerpt

An expected partial repeal of the Affordable Care Act would hit physicians' bottom line, according to a new analysis from the Urban Institute.

"Partial ACA repeal could lead to a fourfold increase in the amount of uncompensated care providers finance themselves compared to current levels," the report's authors wrote. "As a result there would likely be a substantial increase in unmet health care need for the uninsured."

Analysts using the vetoed January 2016 budget reconciliation bill as the basis for their projections estimate that the partial repeal could result in as many as 29.8 million Americans losing coverage through the elimination of the Medicaid expansion, the individual and employer mandates, and the insurance marketplace premium tax credits and cost-sharing reductions.

In addition, there would be a surge in uncompensated care.

"The coverage losses would in turn decrease revenues for providers of all types," they wrote. "Providers' variable costs would also decrease, but their fixed costs would not."

The Urban Institute estimates that spending by insurers (public and private) and households on health care delivered to the nonelderly would decrease by $145. …

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