US healthcare reform scenarios and their impact on the system

Deep Dive
US healthcare reform scenarios how might the current system be impacted

In an effort to control healthcare costs, provide healthcare to the uninsured and underinsured, and improve health outcomes, there has been growing interest among politicians and the public for significant change of the US healthcare system.

Democrats have announced various proposals this year to expand government-sponsored healthcare coverage, popularising the phrase “Medicare for all.” Some proposals are based on Medicare expansion, while others target Medicaid expansion. Some completely eliminate commercial insurance with all Americans covered under a government-run programme, and others maintain employer-sponsored coverage as an option.

In an effort to further understand how the commercial insurance model may change given the implementation of these proposals, ICON’s Pricing and Market Access team interview formulary decision makers to analyse potential outcomes for US healthcare.

ICON assessed three scenarios based on actual proposals:

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