In an article published November 9th on the Health Affairs Blog, Timothy Jost, Emeritus Professor at the Washington and Lee University School of Law and a member of the Institute of Medicine, cataloged the potential ramifications of what a Trump Presidency might mean for the Affordable Care Act. A summary of Jost's arguments are included below:
Read MoreObama administration issues most sweeping rules in a decade for Medicaid enrollees
The Obama administration tightened rules Monday for private insurance plans that administer most Medicaid benefits for the poor, limiting profits, easing enrollment and requiring minimum levels of participating doctors.
For consumers the most visible change may be quality ratings intended to reflect Medicaid plans’ health results and customer experiences. The administration agreed to move slowly on such a sensitive industry issue, saying it would develop the scores over several years.
Read MoreState and federal health reforms helping marginalized patients
According to Kaiser Health News, state and federal incentives and reforms have created new options for nonprofit organizations to support severely marginalized patients such as drug users and sex workers.
Such organizations or "harm reduction centers" are where such patients can get clean needles, syringes, free condoms and HIV prevention information. They have existed for decades at the fringes of the health care system and supported by piecemeal and bootstrapped budgets of state and federal agencies.
Such organizations are increasingly trying to reposition themselves as a resource for hospitals and insurers because of their experience coordinating care for high-risk and often marginalized patients.