Reform Without Results

Philip Betbeze, for HealthLeaders Media , December 13, 2010
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About This Survey
The Healthcare Leaders Reform Readiness study was conducted by the HealthLeaders Media Intelligence Unit. It is part of a series of monthly Thought Leadership studies. In October 2010, an online survey was sent to the HealthLeaders Media Council and select members of the HealthLeaders Media audience. Respondents work in a variety of settings, including hospitals, physician organizations, health plans, insurers, government, education, and academic. A total of 289 completed surveys are included in the analysis. The margin of error for a sample size of 289 is +/- 5.8 percentage points. A detailed report and analysis can be found online after December 15, at

Nearly half (43%) of healthcare leaders oppose the Patient Protection and Affordable Care Act, but now that it's passed, only 34% want it repealed, as many newly elected Republican legislators have promised to try to accomplish. However, fully 71% of respondents to a survey for the HealthLeaders Media Intelligence Report Healthcare Leaders on Reform Readiness say they would repeal portions of the bill. As for the problem areas, many respondents take issue with the elimination of lifetime caps on health benefits, while others don't think the bill goes far enough to cover all. The health insurance mandate rules are called unconstitutional by some respondents. Others say tort reform should have been included. Still others think the phasing-in nature of the law is inappropriate. They want all of the law enacted immediately.

But perhaps support for a full repeal is thin because many forward-thinking leaders already have started making changes in their organizations that will help them achieve the benchmarks the new legislation will require of them. However, it seems there is pessimism about the achievability of the goals of the law, which include care that is more widely available, safer, more coordinated, and cheaper.

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