Americans’ Top Four Healthcare Asks: Does the AHCA Deliver?

In the past month, C Space talked to dozens of American citizens across party lines and discovered that regardless of political beliefs, American share the same “Big Four” hopes for the future of healthcare. By listening to consumers – citizens – together we can share the burden and create something sustainable.

Kristin Masoud

VP, Client Services at C Space Health

With contributions from Prabha Kannan, Bethany Klaene, and Mallory Salerno.

In the past month, C Space talked to dozens of American citizens across party lines and discovered that regardless of political beliefs, American share the same “Big Four” hopes for the future of healthcare. On March 6, the Republicans released their replacement for the Affordable Care Act, presenting a different view for the way forward with healthcare.

Did Republicans listen to what Americans asked for when it comes to healthcare? Does the American Health Care Act deliver on the “Big Four” of what Americans want? Let’s take a look.

  1. Don’t deny coverage for those with pre-existing conditions
    • “I feel parts of Obamacare are good – not being able to deny pre-existing conditions primarily.” –Somewhat conservative, 48
    • YES, BUT – Pre-existing conditions are covered…unless you go more than two months without health insurance.
  2. Don’t issue a fine/penalty if someone doesn’t get health insurance.
    • “Do not tax Americans with a penalty if they couldn’t get coverage. It should be their choice whether or not to get coverage and using gross income as how much a person can pay is totally unfair.” –Somewhat liberal, 34
    • YES, BUT –There is no direct fine or penalty for not having health insurance – but there is a 30% surcharge on premiums if you go more than 63 days without health insurance.
  3. Keep premiums and drug costs affordably low for all.
    • “[We needSomething more up to standards, something actually affordable, not just premiums but all out of pocket expenses.” –Somewhat conservative, 30
    • YES AND NO. The AHCA eliminates the need to provide standard plans and the ability to offer “skinnier,” less benefit-rich plans that will be less expensive for younger, healthier people. But it also allows insurance plans to charge their oldest enrollees up to five times as much as younger enrollees (up from 3x under the current law). Tax credits replace subsidies, on a sliding scale that increases with age, but do not replace the current subsidy value.
  4. Any replacement plan should be available immediately, without a lapse in coverage.
    • “There needs to be a solution on day 1 after it is repealed. This is coming from someone that hates Obamacare. The worst thing that can happen is if you repeal and don’t replace. The damage has already been done to most Americans and there is no going back. The best you can do is try to ease the burden that has been dumped on the majority of Americans.” –Somewhat conservative, 34
    • TO BE DETERMINED. The Republicans hope for approval by mid-April, 2017 – but time will tell. Conservative Republicans, House Democrats, and interest groups such as the AARP are already taking stands against the AHCA – a detailed debate lies ahead.

There’s so much more to it, but these are the “Big Four” we heard when it comes to Americans and healthcare. There are fewer than 35 weeks until 2018 open enrollment. Overhauling our healthcare system is not an easy task and there will be many tradeoffs and concessions along the way. By listening to consumers – citizens – together we can share the burden and create something sustainable: a system that delivers on American’s expectations, while reducing unnecessary pain points and restrictions for companies that operate in this space.

All data for this piece from C Space sponsored research conducted in C Space’s HATCH community from January 20-30, 2017.

You may be interested in:

Todd Unger, Chief Experience Officer, AMA: Engaging Physicians in a Digital Age

Todd Unger, Chief Experience Officer, AMA: Engaging Physicians in a Digital Age Subscribe to the Outside In podcast: Founded in 1847, the American Medical Association has a long history of advocating for physicians and advancing medicine in the United...

In Print: Our best thinking

In Print: Our best thinking delivered to your desk Every quarter, we publish the very best thinking from across our global network in In Print. It’s a physical magazine that brings together brilliant ideas, provocative thinking & our very latest insights. Everything...

The Right Insight

The Right Insight What makes a successful customer insights leader? Here’s a guide to the challenges and strategies of some of the best in the business. Robert Howie is Managing Director of growth at C Space, and previously led the...

Where Net Promoter Score Goes Wrong

Where Net Promoter Score Goes Wrong

by Christina Stahlkopf (C Space)
HBR

We surveyed over 2,000 consumers across the United States and the United Kingdom to take a fresh look at consumer advocacy behavior, free of any preconceptions or assumptions. The result: our Earned Advocacy Score™. Based on definable behavior that maps out detailed, clear, actionable data, our framework unpacks the context of actual earned advocacy, uncovers what is really driving the conversation, and provides targeted strategies for growth. Christina Stahlkopf, Associate Director at customer agency C Space, digs deeper…

Kelly Leonard, The Second City: Improv and Business Share the Same Stage

Kelly Leonard, The Second City: Improv and Business Share the Same Stage Subscribe to the Outside In podcast: The Second City is arguably the most renowned and important improv institution in the world. Tina Fey, Amy Poehler, and Stephen Colbert all honed...

Safi Bahcall: Why Do Good Companies Kill Great Ideas?

Safi Bahcall: Why Do Good Companies Kill Great Ideas? Subscribe to the Outside In podcast: Disruptive innovation. Visionary leaders. Innovative culture. All phrases you’ve likely seen before in your LinkedIn feed, heard in TED Talks, or read in business...

Nicolaj Siggelkow & Christian Terwiesch: Advantages of a Connected Strategy

Nicolaj Siggelkow & Christian Terwiesch: Advantages of a Connected Strategy Subscribe to the Outside In podcast: Companies like Disney, Nike, Amazon, and Netflix are all creating continuous relationships with customers by implementing a “connected...

Bari Harlam, CMO, Hudson’s Bay Company: Inside the Strategy of an Icon

Bari Harlam, CMO, Hudson’s Bay Company: Inside the Strategy and Culture of an Icon Subscribe to the Outside In podcast: From direct-to-consumer to augmented reality shopping, the retail industry is experiencing massive – and rapid – change. It’s not just...

Americus Reed II: Brands and Identity Loyalty

Americus Reed II: Brands and Identity Loyalty Subscribe to the Outside In podcast: An identity theorist is someone who studies how people come to adopt certain visions or desired images of themselves. It’s a term created by Americus Reed II, Professor of...

Jeremy Schwartz: Lead with a Clear Purpose

Jeremy Schwartz: Lead with a Clear Purpose Subscribe to the Outside In podcast: These days, it seems like most companies are talking about their “purpose.’ Those that aren’t are searching for one. But how does purpose get defined? Who defines it? And how...