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Cover Story: Tearing up Obamacare

How potential health law changes might affect HRE

By John B. Mugford


With resistance in Congress, President Donald Trump has found it more difficult than he expected to keep his campaign promise to repeal and replace Obamacare. Yet most believe that some changes to the Patient Protection and Affordable Care Act (PPACA) are inevitable. How might healthcare real estate (HRE) be affected under various “Trumpcare” scenarios?

Keynote speaker Joel Jaglin, director of the Health Industries Advisory group with PwC, shared his thoughts on the matter at the InterFace Healthcare Real Estate West conference in Los Angeles March 8. Mr. Jaglin’s address was titled, “Seeking clarity in the uncertain: How will the repeal/amendment of Obamacare impact healthcare and medical office real estate?”

At the time of Mr. Jaglin’s presentation, the Republication majority in Congress and President Trump seemed well on their way to repealing and replacing the PPACA. But, as we all know, quite a bit has changed in the past couple of months as lawmakers have made proposals that would alter the law but not necessarily repeal it.

And although the possibility of a full repeal still exists, the road has become much more difficult and unlikely as lawmakers have had a difficult time coming to agreement.

Fortunately, Mr. Jaglin anticipated that uncertainty. In his presentation, he discussed how people and organizations involved in healthcare and HRE should prepare for the future – be it a future with the PPACA being left unchanged, altered or fully repealed.

Here are some key takeaways and excerpts from his presentation.

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