No matter what happens to the ACA, the trend of providing value based health care has gained a momentum that won’t be easy to stop. If Trump succeeds in eliminating health exchanges and rolling back coverage in states that expanded Medicaid, providers will likely see a dramatic rise in uncompensated care. Hospitals will bear the brunt of this increase in uncompensated care and have an incentive begin utilizing scalable methods for population health management.
On the bright side, providers are finding innovative ways to manage the the 332% of Americans with multiple chronic conditions. This is an obvious area where technology can improve outcomes and cut the astronomical costs. About 86% of the $2.9 trillion in annual healthcare spending is for patients with more than one chronic condition.