Health Care Reform
The Patient Protection and Affordable Care Act (PPACA), effective March 23, 2010, represents the greatest change in U.S. health care since the adoption of the Medicare and Medicaid programs, and holds promise for increased access to care, greater quality and better value for health care expenditures. While this change presents challenges, it also presents opportunities - especially the opportunity for hospital leaders, in partnership with state and federal officials and other stakeholders, to transform the health care delivery system.
Health Insurance Marketplace Resources
Frequently Asked Questions About Key ACA Provisions (Sept. 2013)
- Individual Mandate
- Medicaid Expansion
- Consumer Assistance and Outreach
Delivery System Reform - Intended to meet the Triple Aim of improving quality for patients, reducing costs and improving population health. Systems are evolving that seek to provide patients with improved care coordination and access to care at the right time and in the right setting across the continuum.
Payment Reform - Payment reform is intended to reduce costs by aligning payment incentives for those who deliver care to improve quality, care coordination and patient safety. Medicare, Medicaid and all other payers are working to change the way they pay for care. Pay for performance, bundled payments and shared savings models are examples.
Legal issues relate to court decisions and agency actions relating to implementation of the Affordable Care Act (ACA). Among the issues that are being addressed as the law is implemented are antitrust enforcement, fraud and abuse, governance, and tax exemption.