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Second Opinion

Learn about policy issues important to medical schools and teaching hospitals, with Executive Vice President Atul Grover, M.D., Ph.D.

Coverage and Delivery Expansion

Coverage Expansion | Demonstrations and CMMI | Patient Care Quality

The Affordable Care Act (ACA) calls for new programs and initiatives that will transform how healthcare is delivered. Innovative pilot programs specified in the legislation, such as accountable care organizations (ACOs), are currently being implemented. The ACA also created the Centers for Medicare and Medicaid Innovation (CMMI), which is tasked with developing and funding demonstration projects to improve the quality of care for patients. CMMI launched programs such as the Pioneer ACO, Bundled Payments for Care Improvement, and the Health Care Innovation Challenge.

The ACA also establishes new requirements for health insurance coverage. Starting in 2014, consumers and small businesses will be able to purchase coverage through state-level exchanges. These exchanges will offer insurance options, aid consumers in selecting plans, and coordinate eligibility for premium tax credits. Also in 2014, Medicaid will expand to cover those at or below 133 percent of the federal poverty level.

Related: Geographic Variation | Inpatient Prospective Payment System


News and Updates


Hospital Groups File Amicus Brief in Support of ACA

June 15, 2018

The AAMC June 14 joined with the American Hospital Association, the Catholic Health Association, and the Federation of American Hospitals to file an amicus brief in the case of Texas v. the United States.


The VA Announces Final Rule on Telehealth

May 24, 2018

The Department of Veterans Affairs (VA) May 11 released its final rule on the Authority of VA Health Care Providers to Practice Telehealth. With this rule, VA health care providers (i.e., those with a VA appointment) can provide telehealth services within VA facilities across state lines.


AAMC Comments on Short-Term, Limited-Duration Insurance Proposed Rule

April 27, 2018

The AAMC submitted an April 23 comment letter to the Centers for Medicare and Medicaid Services (CMS) in opposition to the agency’s proposal to amend the maximum length of short-term, limited-duration (STLD) insurance policies from three months to 12 months. Additionally, the AAMC commented on the agency’s proposed notice provided to STLD enrollees and applicants.


CMS Finalizes Coverage of Next Generation Sequencing Tests

March 23, 2018

The Centers for Medicare and Medicaid Services (CMS) March 16 announced it will cover Next Generation Sequencing (NGS) tests for patients with advanced cancer. The decision finalizes many aspects of the proposed National Coverage Decision (NCD) issued Nov. 30.


AAMC Joins Community Letter Opposing ‘Right to Try’ Legislation

March 16, 2018

The AAMC March 12 joined 85 organizations in a community letter opposing the latest version of the Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act, legislation that would create a secondary pathway for accessing investigational therapies outside of clinical trials that would remove Food and Drug Administration (FDA) approval and consultation.


On Government Affairs



Testimony and Correspondence





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