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Coverage and Delivery Reform

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.

Court Update: What You Should Know About the Recent Circuit Court Rulings on the ACA, the IRS, and Tax Subsidies 

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 | Requirements for 501(c)(3) Hospitals


New Coverage and Delivery Reform Resources


What You Should Know About the Recent Circuit Court Rulings on the ACA, the IRS, and Tax Subsidies

July 25, 2014


An update on the Affordable Care Act (ACA) court cases that challenged the Internal Revenue Service (IRS) rules allowing tax credits for individuals in both state-established and federally-established exchanges



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 Comment Letter Benefit Payment Parameters CY 2019

November 27, 2017

The AAMC comments on the Centers for Medicare & Medicaid Services proposed rule entitled, “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2019."


On Patient Care



Testimony and Correspondence