Like millions of consumers, employers and health plan providers, benefit advisers are ill at ease about the future of healthcare under the Trump administration. Anxiety over higher premiums, fewer choices and a roll back of Medicaid expansion after 2020 have become sovereign pain points for all concerned. Other developments, including the introduction of the Direct Enrollment Proxy Pathway and the Centers for Medicare and Medicaid Services’ decision to discontinue the Federally-Facilitated Small Business Health Options Program (SHOP exchanges), have added to the consternation.

It may not be as bad as it seems. Here’s what advisers need to know about Republicans’ plans for reforming the U.S. healthcare system:

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