Special Edition: Five Reasons the ACA Won't Be Repealed with Billy Wynne of Thorne Run Partners

Billy Wynne

Managing Partner, TRP Health Policy Phone: (202) 309-0796 Email: bwynne@thornrun.comwww.thornrun.com/health-policy www.mypolicyhub.comwww.linkedin.com/in/billywynne www.healthaffairs.org/blog/author/wynne @billywynne77 @trphealthpolicy @thorn_run

Billy Wynne is nationally respected health policy consultant, advocate, speaker, and entrepreneur. He possesses a wealth of government and private sector experience in developing and implementing federal healthcare policy and achieving legislative and regulatory objectives. He delivers strategic counsel and advocacy services to Fortune 500 companies, trade associations, integrated health systems, state and local governments, private foundations and a host of other organizations across the country.

Mr. Wynne joined Thorn Run after several years as principal of a healthcare-focused policy boutique and as an associate in the healthcare practice of the nation's then-largest lobbying firm. In 2013, he founded Policy Hub, a comprehensive website and newsletter aggregator of Federal healthcare policy analysis.

From 2006 to 2008, Mr. Wynne served as Health Policy Counsel to the Senate Finance Committee. In that capacity, he advised Committee Members on key health care policy matters, including Medicare, Medicaid and broader health care reform. Mr. Wynne was a key drafter and negotiator of several healthcare laws enacted during that period and assisted in the development of the healthcare reform "White Papers" that served as the basis for the Affordable Care Act.

Mr. Wynne received a bachelor's degree in Government from Dartmouth College and a law degree from the University of Virginia. He is a member of the District of Columbia and Virginia bar associations and serves on the boards of Operation Smile, 9Health Fair and Chinese Children Charities. When he's not working in Washington, Mr. Wynne lives in Denver, CO with his wife, Christy, and their children, Eleanor and Lei.

00:00 The future of the ACA and MACRA. 02:00 An ACA repeal is not an ACA repeal. 03:00 "It's really a matter of what's going to be carved in, not out." 05:45 The Gordian Knot of the ACA. 06:20 "The Affordable Care Act actually reduced the deficit." 07:20 Why policies initiated by the ACA mandates have benefitted the economy. 08:30 Some of the less visible aspects of the ACA. 11:30 Billy discusses Kentucky and Republicans who will face the ramifications of trying to repealing ACA. 15:40 Owning promises, solving problems, and defending solutions. 21:00 Looking at Medicaid and Medicare in the looming prospect of repealing the ACA. 23:45 What's the crux of the savings? 24:15 The term "decentralization" and the ramifications of that in Medicaid. 25:50 Healthcare stakeholders and the weight they hold in whether the ACA gets repealed or not. 28:35 How MACRA fits into these new political developments. 31:30 What Actionable steps can healthcare CEOs take right now. 33:45 Things stakeholders and Payers should be thinking about and doing right now.