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Coverage and Delivery Reform

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.

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

Hospital Groups File Amicus Brief in Support of ACA

June 15, 2018

The AAMC June 14 joined with the American Hospital Association, the Catholic Health Association, and the Federation of American Hospitals to file an amicus brief in the case of Texas v. the United States.

AAMC Comments on CMS Request for Information on Direct Provider Contracting Models

May 25, 2018

The Association of American Medical Colleges (AAMC or Association) welcomes this opportunity to comment on the Centers for Medicare and Medicaid Services’ (CMS’s or the Agency’s) Request for Information on Direct Provider Contracting Models.

The VA Announces Final Rule on Telehealth

May 24, 2018

The Department of Veterans Affairs (VA) May 11 released its final rule on the Authority of VA Health Care Providers to Practice Telehealth. With this rule, VA health care providers (i.e., those with a VA appointment) can provide telehealth services within VA facilities across state lines.

On Patient Care

Testimony and Correspondence