FLASH CALL @ 9:00AM / SENATE VERSION OF ACA REPEAL RELEASED

MAJOR TOPIC COVERED

• Status quo for Medicaid expansion for three years with three year phase-down of expansion funding - Short term positive but long term negative for hospitals: HCA, CYH, THC, LPNT; Medicaid Managed Care: MOH, CNC, UNH,
• Transforms the Medicaid program from an open-ended entitlement to a per capita or block grant financing system - Long term negative for hospitals, skilled nursing facilities: KND, ENSG, GEN
• Permits increased flexibility for states to revise their Medicaid programs and reduces administrative burden of Section 1115 waivers by making those permanent under certain circumstances - Long term positive for MOH, CNC, UNH
• Sends buckets of money to states to create parity between expansion and non-expansion states; stabilize insurance markets and provide funding for innovations - Short term positive for insurers: ANTM, UNH, HUM, AET
• Brings more oversight to Medicaid program - Short and long term negative for Medicaid Managed Care Organizations: MOH, CNC, UNH
• Funds Cost Sharing Reduction payments through 2019 but repeals the program beginning in 2020 - Short term positive for insurers: ANTM, UNH, HUM, AET and hospitals: HCA, CYH, THC, LPNT
• Makes available tax credits for people living at 0%-350% of poverty depending on age
• Amends the Medicaid inpatient mental disease (IMD) exclusion to permit inpatient care for 30 days for opioid addiction treatment and up to 90 days a year - Long term positive for mental health and substance abuse treatment: AAC, AHCH, UHS

We will also take client questions and discuss key milestone to passage.