The following parts of President Obama's healthcare reform legislation are likely to still be a component of Federal healthcare policy even if the act is repealed by a future Congress and President, though their presence may not be as obvious:
- Decreasing reimbursements for primary care
- Transition to ICD 10
- IT incentives for EMR purchasing and requirements / penalties for non-compliance
- ACOs already likely underway are unlikely to be terminated. While new ACOs may not form in a repeal, there is a likelhood of
move a pay-for-value system as opposed to strictly a pay-for-volume system
These are changes that while they are in the law and may be technically removed in a repeal, are likely to be parts of any President's healthcare policy anyway, unless an unexpectedly large amount of funding for healthcare is appropriated.
Dartmouth Hitchock's Director of Clinical Services sums it up pretty well. "Organizational priorities will not be affected if health reform is repealed, which I do not believe will happen."