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Archive for Affordable Care Act


Implications of ACA Repeal for Medicaid

How might repeal of the Affordable Care Act affect Medicaid? Medicaid beneficiaries? States and providers? Because they care for so many Medicaid patients, including many who enrolled in Medicaid as a result of the Affordable Care Act, the answers to these questions are of special importance to the nation’s private, non-profit urban safety-net hospitals. These issues and more are considered in the new Commonwealth Fund report “Medicaid’s Future: What Might ACA Repeal Mean?” Find it here

Weighing the Impact of ACA Repeal

How might repeal of the Affordable Care Act affect the financial health of different kinds of hospitals? The New York Times recently took a look at how the 2010 reform law’s repeal would affect two Pennsylvania health systems: the Temple University Health System, led by a heavily Medicaid-dependent urban safety-net hospital located in one of the poorest communities in the country; and Main Line Health, a non-profit organization with several hospitals all located in affluent communities. See what the Times found here

“Cures” Bill Gives NAUH Legislative Victory

The new 21st Century Cures Act includes something private urban safety-net hospitals have long advocated: socio-economic risk adjustment of Medicare’s hospital readmissions reduction program. NAUH has been urging Congress and the administration to introduce such a risk-adjustment component ever since the 2010 health care reform law was adopted. The bill, passed by Congress and signed earlier this week by President Obama, requires the Centers for Medicare & Medicaid Services to introduce a system of such adjustments to ensure that hospitals that serve especially large numbers of socio-economically challenging patients are not treated unfairly by the Medicare program. While the bill [&hellip

A Look at Medicaid’s Immediate Future

With a new president taking office in January who vows to repeal and replace the Affordable Care Act, it is not clear what will happen to Medicaid, which currently covers 73 million Americans. A new paper from the Kaiser Family Foundation looks at some of the major questions that will arise in the coming months, including: How would ACA repeal affect Medicaid? What would changes in the financing structure mean for Medicaid? How could Medicaid be changed through administrative actions? For this and more, go here to see the Kaiser paper “Key Medicaid Questions Post-Election.”

States Exploring Deviations from ACA Standards

A number of states are considering pursuing waivers from selected requirements of the Affordable Care Act in the name of health care innovation. Section 1332 of the 2010 health care reform law permits states, with federal approval, to implement different approaches to providing their residents with quality, affordable health care that fall outside the restrictions of Affordable Care Act requirements so long as those different approaches provide comparable coverage and do not increase federal costs. These state innovation waivers, also commonly referred to as section 1332 waivers, are available to take effect as of January 1, 2017 and a number [&hellip

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