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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


House Subcommittee Holds Hearing on Surprise Medical Bills

April 5, 2019

The House Education and Labor Subcommittee on Health, Employment, Labor, and Pensions April 2 held a hearing titled “Examining Surprising Billing: Protecting Patients from Financial Pain.”


House Committee Advances Bills on Drug Pricing and Health Coverage

April 5, 2019

The House Energy and Commerce Committee April 3 held a markup to review and advance a series of bills related to prescription drug pricing and health insurance coverage.


AAMC Submits Amicus Brief in Texas v US

April 5, 2019

The AAMC, along with the American Hospital Association, the Federation of American Hospitals, the Catholic Health Association of the United States, and America’s Essential Hospitals, submitted an amicus brief in support of the constitutionality of the Affordable Care Act (ACA, P.L. 111-148 and P.L. 111-152) in the case of Texas v. United States.


House Democrats Unveil Health Care Package

March 29, 2019

House Democratic leaders March 25 unveiled the Protecting Pre-Existing Conditions and Making Health Care More Affordable Act of 2019— draft legislation that seeks to build off the Affordable Care Act (ACA P.L. 111-148 and P.L. 111-152) to lower health care costs and strengthen protections for people with pre-existing conditions.


House Subcommittee Advances Drug Pricing, Health Insurance Bills

March 29, 2019

The House Energy and Commerce Health Subcommittee March 27 held a markup to review and advance a series of bills related to both prescription drug prices and health insurance coverage.


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