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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: Geographic Variation | Inpatient Prospective Payment System

News and Updates

AAMC Submits Letter to CMMI on Innovation Center New Direction

December 1, 2017

The AAMC Nov. 20 submitted a letter to the Centers for Medicare and Medicaid Services’ (CMS) Center for Medicare and Medicaid Innovation (CMMI) regarding its Request for Information (RFI) titled, “Innovation Center New Direction.”

AAMC Urges CMS Not to Finalize its Proposed CY 2019 Benefit and Payment Parameters Proposed Rule

December 1, 2017

The AAMC Nov. 27 submitted comments to the Centers for Medicare and Medicaid Services (CMS) Benefit and Payment Parameters Calendar Year (CY) 2019 proposed rule.

AAMC Submits Amicus Brief on Value of the ACA’s CSRs to Patients and Hospitals

October 27, 2017

The AAMC Oct. 21 submitted an amicus brief, along with the American Hospital Association, Federation of American Hospitals, and Catholic Health Association, in the US Court of Appeals for DC in the case in which the legal watchdog group Citizens for Responsibility and Ethics has sued to prevent the federal government from stopping cost-sharing reduction (CSRs) payments under the Affordable Care Act (ACA).

Senators Reach Bipartisan Deal to Stabilize the Marketplaces

October 20, 2017

Senator Health, Education, Labor, and Pensions Chair Lamar Alexander (R-Tenn.) and Ranking Member Patty Murray (D-Wash.) Oct. 17 announced they reached a deal to stabilize the health insurance marketplaces.

AAMC Submits Comment Letter on Proposed Cancellation of Episode Payment Models and Changes to the Comprehensive Care for Joint Replacement Model

October 13, 2017

The AAMC Oct. 12 submitted a comment letter to the Centers of Medicare and Medicaid Services (CMS) regarding the cancellation of Episode Payment Models (EPMs) under the proposed rule entitled, “Medicare Program; Cancellation of Advancing Care Coordination through Episode Payment and Cardiac Rehabilitation Incentive Payment Models; Changes to Comprehensive Care for Joint Replacement Payment Model (CJR)”.

On Government Affairs

Testimony and Correspondence

External Resources