If we take the Republican architects of the ACHA at their word (and not everyone does) the putative reforms embodied in the AHCA are based on a free-market approach: You need to have an individual market where people care about what things cost, where people have real freedom, where those providers of health care services, be they insurers, doctors or hospitals and everybody in between, compete against each other for our business based on value, based on price, based on quality, based on outcome.If the free market is going to determine coverage, why does the AHCA force insurers to cover CAM provider services?Consistent with the push for rebranding chiropractors as primary care physicians (a subject we’ve covered extensively on SBM), a chiropractic organization issued a White Paper asserting that chiropractors could act as PCPs in patient-centered medical homes, a care-improvement strategy adopted by the ACA.
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Despite President Trump’s oft-repeated promise to repeal Obamacare on “Day One,” vowing to call a special session of Congress if necessary, the American Health Care Act of 2017 actually amends the Affordable Care Act and does not repeal it outright. 300gg-5), which prohibits “discrimination” in insurance coverage against health care providers practicing within the scope of their state license.
In doing so, the AHCA retains a number of the ACA’s provisions. Section 2706 says: A group health plan and a health insurance issuer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider’s license or certification under applicable State law.
Insurers in states licensing naturopaths and acupuncturists should be forced to include them in their coverage as well. State benchmark plans still exclude certain types of providers, especially massage therapy and naturopathy.
IHPC launched a “Cover My Care” campaign designed to assist patients in lobbying for coverage.
Back in 2013, the Department of Health and Human Services (HHS) issued guidance on just what was to be expected of insurers under Section 2706. The goal of this provision is to ensure that patients have the right to access covered health services from the full range of providers licensed and certified in their State.