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The Impacts of the Affordable Care Act on Preparedness Resources and Programs Workshop Summary (2014) / Chapter Skim
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2 How the ACA Will Change the Health Care Delivery System
Pages 15-22

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From page 15...
... are access to health care through expanded coverage, improved quality and efficiency and lower health care costs, and consumer protections. Incremental reforms have been made to the ACA since it was passed in 2010.2 Although these key features ideally will contribute to communities being not only 1 This list is the rapporteurs' summary of the main points made by individual speakers and participants, and does not reflect any consensus among workshop participants.
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From page 16...
... . Understanding the reforms and details of the law can help to clarify how preparedness programs should adapt to the changing health care delivery landscape.
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From page 17...
... Insurance affordability programs  Medicaid eligibility expansion to include adults under age 65 up to 133 percent of federal poverty level (per Supreme Court ruling, states can refuse to implement this provision without penalty)
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From page 18...
... People between 100 and 133 percent of the federal poverty level in any state can get the sliding-scale subsidy when selecting coverage in the federal health exchange, Ebeler explained. But those below 100 percent of the poverty level and above current Medicaid coverage limits will have no source of subsidy in the states that are not expanding their programs.
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From page 19...
... One area of payment reform that was of particular concern to some participants who spoke was cuts to the disproportionate share hospital 7 ACOs are groups of doctors, hospitals, and other health care providers that come together voluntarily to give coordinated high-quality care to their patients. More on ACOs can be found at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ ACO (accessed June 8, 2014)
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From page 20...
... . Comparing geographic variation in cost and quality, Florida fell in the highcost/poor-outcome quadrant, or rated low in nearly every benchmark across multiple assessments by AHRQ and the Dartmouth Atlas of Health Care.10 The board of the Florida Hospital Association set out to change this, Rueben said, and created a framework for performance improvement collaborations in areas that were particularly important to the Centers for Medicare & Medicaid Services (CMS)
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From page 21...
... All health care providers will be held financially accountable for patient safety and quality with meaningful outcomes measurements. Educated and empowered providers will do the best they can for patients.
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Key Terms

  • federal poverty
  • poverty level
  • accessed june
  • care quality
  • affordable care

  • care act
  • expand medicaid
  • medicaid eligibility
  • florida hospital
  • hospital association

  • health insurance
  • uncompensated care
  • medicaid expansion
  • supreme court
  • premium tax

  • dartmouth atlas
  • disproportionate share
  • payment reform
  • million uninsured
  • expanded coverage

  • lack coverage
  • quality performance
  • dsh payments
  • million americans
  • individual mandate

  • federal health
  • health resilience
  • health benefits
  • changing health
  • improve care


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