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    Five things to know about Trump’s health leadership picks

    President-elect Trump intends to nominate Rep. Tom Price, MD, (R-Ga.) as HHS secretary and Seema Verma, MPH, a healthcare consultant, to head the CMS.

    Here’s five things to know.

    1. Price has been a strict opponent of the ACA—and will likely work hard to dismantle it.

    After campaigning on a “repeal and replace” platform, President-elect Trump indicated that he could be open to preserving some components of the Affordable Care Act. “Most notably the guaranteed issue provision and allowing children to stay on their parents’ insurance to age 26—both of which are more popular provisions with the electorate,” says Greg Maddrey, director and value-based care practice leader, The Chartis Group. “Yet the choice of Price may suggest a more complete dismantling of the ACA than Trump signaled following the election.”

    In fact, Price previously introduced legislation to repeal Obamacare. His Empowering Patients First Act (HR2300) legislation fully repeals Obamacare and provides for refundable tax credits for health insurance coverage and health savings accounts.

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    “[Price] is known for his continued opposition to the ACA since its outset. Of the many critics of the ACA, Price has perhaps gone farther than any in putting a plan on the table for what repeal and replace may entail with his Empowering Patients First Act,” Maddrey says. Price’s Empowering Patients First Act (HR2300) legislation proposes a full repeal to the ACA offering refundable tax credits for health insurance coverage and health savings accounts.

    “The legislation Price has proposed would repeal the Affordable Care Act and offer age-adjusted tax credits for Americans to purchase individual health insurance policies,” says David A. Reid, founder and CEO of Easecentral, a cloud-based HR and employee benefits technology platform. “His proposal would focus more on incentives for people to contribute to health savings accounts currently used to minimize risk for high-deductible health plans. The proposal includes grants to states for higher risk populations, and allow insurers to sell specific types of policies in other states where there are currently restrictions.”

    The exchanges will likely look very different, as well, according to Reid. “Employer requirements including the employer mandate and IRS reporting will likely be loosened or eliminated altogether,” he says.

    Additionally, Price has voiced support for House Speaker Paul Ryan’s A Better Way agenda, which includes many similar elements as the Empowering Patients First Act, but also addresses some additional topics, including Medicare reform.

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