Mark Lindsay on Delay of Key Provision in the Affordable Care Act

July 9, 2013

Recently it was announced that a key provision in the Affordable Care Act would be delayed until 2015. This provision requires businesses with more than 50 employees to provide their workers with health insurance or face fines and was postponed after businesses had expressed concerns over the complexity of the laws reporting requirements. This doesn’t surprise Mark Lindsay, consultant for the Livingston Group, who believes there are still a lot of things that need to be squared away before and reconciled before it can be implemented nationwide. This is not just a policy issue it is also a structural, cultural, and compensation issue as well.

Some places are better suited than others to implement these changes but on the whole those areas were already doing similar things. The larger problem is the outcome of data where uneven results were not intended and were supposed to raise the bar on opportunities which would help offset additional costs. A recent trip to the Governor’s Association Meeting discussed the concept of Geomapping using data metrics. This showed the discrepancies in different areas of the country with Houston having the highest costs and readmissions while the Northwest and Minnesota had the lowest. In addition to cost savings issues, innovation is also something that needs to be taken into consideration to ensure quality. All these complexities make it a major challenge implementing all aspects of the Affordable Care Act at the moment.

Mark Lindsay was on Obama’s Transition Team as a healthcare reform/policy advisor and was instrumental in Hillary Clinton’s healthcare reform drive. Prior to coming onboard with the Livingston Group, where he specializes in healthcare and pharma, Mark was with UnitedHealth Group in a number of senior positions including President of the AARP Pharmacy Services Division and Vice President of Public Communications and Strategy. The Livingston Group is recognized as one of the most respected government relations firms in Washington. TLG provides comprehensive public affairs, government relations and lobbying services on a global basis. If you would like to speak with Mark on a 1 on 1 basis on this topic please contact

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