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What’s the aftermath of King v Burwell? Column offers ‘pedestrian view’

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The Supreme Court of the United States has never had such a central role in the healthcare system as it recently has. First in 2012, when it was asked to decide whether the federal healthcare law is constitutional, and again now as the court prepares to issue a ruling in the second challenge to the law, King v Burwell.

Paul H. Keckley, managing director in the Navigant Healthcare Practice, offers a “pedestrian view” of the practical implications of the court’s ruling, expected sometime before the end of the month. The lawsuit challenges the tax subsidies available to those who enroll in a federal exchange. There are more than 1.6 million Floridians who use the federal exchange to buy health insurance coverage.

Keckley lays out five scenarios if the court rules with the plaintiffs, including a swelling of the number of uninsured. And if the court rules with the defendants, Keckley notes that “the viability of health exchanges (marketplaces) will become an even more pressing national issue.

Navigant is the healthcare consulting group that was hired to conduct an analysis of Florida’s Medicaid payment and funding system for hospitals. Keckley  writes a weekly health reform newsletter, Pulse Weekly, for Navigant and has published three books and more than 250 articles.

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