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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


CMS Releases Affordable Care Act Market Stabilization Proposed Rule

February 17, 2017

The Centers for Medicare and Medicaid Services (CMS) Feb. 15 released the Patient Protection and Affordable Care Act Market Stabilization proposed rule, which proposes reforms to stabilize the individual and small group health insurance markets. Most of the policies will be effective for the 2018 plan year, but some could be implemented in 2017. 


House Energy and Commerce Committee Holds Medicaid Hearings

February 3, 2017

As part of Affordable Care Act (ACA) repeal and replace and Medicaid reform debates on Capitol Hill, two House Energy and Commerce Subcommittees held hearings focused on oversight and strengthening the Medicaid program.


Senate and House Committees Hold Hearings on Insurance Exchanges

February 3, 2017

The Senate HELP Committee Feb. 1 held a hearing on the stability of the individual insurance market. Witnesses included members representing America's Health Insurance Plans, the National Association of Health Underwriters and the National Association of Insurance Commissioners, and former Kentucky Governor Steven Beshear.


President Trump Signs ACA Executive Order, Instructs Agencies to Hold Regulations

January 27, 2017

President Donald Trump Jan. 20 signed an executive order giving the administration and agencies the ability to make changes to the Affordable Care Act (ACA) without legislation from Congress. 


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.


On Government Affairs



Testimony and Correspondence





External Resources