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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


Senate HELP Committee Holds Hearing on Opioids and Pain Management

February 15, 2019

The Senate Health, Education, Labor, and Pensions (HELP) Committee Feb. 12 held a hearing to discuss managing chronic pain during the opioid crisis.


Energy and Commerce Subcommittee Holds Legislative Hearing on ACA

February 15, 2019

The House Energy and Commerce Health Subcommittee Feb. 13 held a legislative hearing focused on reversing several recent regulatory changes made by the Trump administration to the Affordable Care Act (ACA, P.L. 111-148 and P.L. 111-152).


Senate HELP Committee Holds Hearing on Primary Care

February 8, 2019

The Senate Health, Education, Labor, and Pensions (HELP) Committee Feb. 5 held a hearing to discuss how primary care affects health care costs and outcomes.


House Committees Hold Trio of Hearings on ACA

February 8, 2019

Three House Committees Feb. 6 held separate hearings related to the Affordable Care Act (ACA, P.L. 111-148 and P.L. 111-152). Both Democrats and Republicans highlighted their support of guaranteeing coverage of pre-existing conditions but continued to disagree on the fundamentals of the ACA. The hearings offered a preview of where members may try to legislate in the 116th Congress.


House Ways and Means Committee Holds Hearing on Pre-Existing Conditions

February 1, 2019

The House Ways and Means Committee Jan. 29 held a hearing on protecting Americans with pre-existing conditions


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