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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 | HIT | 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: ACA Supreme Court Decision | Geographic Variation | Inpatient Prospective Payment System

News and Updates

AAMC President and CEO Sends Medicaid Letter to Republican Finance Committee Chair

January 19, 2017

In preparation for Senate Finance Committee Republicans’ Medicaid roundtable with several Republican governors, AAMC President and CEO Darrel G. Kirch, MD, Jan. 18 sent a letter to Chairman Orrin Hatch (R-Utah) regarding the importance of the Medicaid program to beneficiaries and safety net providers.

CMS Expands Medicare Bundled Payment Models

January 6, 2017

The Centers for Medicare and Medicaid Services (CMS) Dec. 20 released a final rule implementing three new Episode Payment Models (EPMs), a Cardiac Rehabilitation Incentive Payment Model, and modifies the Comprehensive Care for Joint Replacement Model to streamline it with EPM regulations.

AAMC Submits Comments to PCORI on Data Sharing Policy

January 6, 2017

The AAMC Dec. 14 submitted comments to the Patient-Centered Outcomes Research Institute (PCORI) regarding a proposed Policy for Data Access and Data Sharing.

CMS Announces New Medicare-Medicaid Accountable Care Organization Model

December 16, 2016

he Centers for Medicare and Medicaid Services (CMS) Dec. 15 announced the Medicare-Medicaid Accountable Care Organization (ACO) Model, which aims to improve care coordination for beneficiaries who are enrolled in both Medicare and Medicaid, otherwise known as dual-eligibles. 

AAMC President Sends Letter to Leaders about ACA Repeal and Replace Efforts

December 16, 2016

AAMC President and CEO Darrel G. Kirch, MD, Dec. 9 sent letters to President-elect Trump and Congressional leaders urging them not to repeal the Affordable Care Act (ACA) without simultaneously enacting legislation that maintains current coverage levels.

On Government Affairs

Testimony and Correspondence

External Resources