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Access to Care

Health Care Reform

Pennsylvania hospitals support efforts to ensure coverage for all individuals. The framework established under the Affordable Care Act (ACA)—which offers subsidized coverage through health care insurance exchanges, combined with expanded access to Medicaid—provides the most viable pathway to expand coverage and reduce costs.

  • More than 1.1 million Pennsylvanians have benefited from access to coverage
  • Millions have benefited from consumer protections—coverage for pre-existing conditions, no lifetime limits, a minimum essential benefits package

HAP has produced an interactive state map to help the public and policymakers understand the Affordable Care Act’s health care coverage impact in the state’s Congressional districts.

In Pennsylvania, the ACA’s individual and small group health insurance plans remain stable. For 2019, in aggregate, individual plans will show a 2.3 percent rate decrease statewide and an average 2.6 percent increase for small group market plans. All but ten of Pennsylvania’s counties have more than one insurer offering coverage and additional insurers are joining the individual market in 30 Pennsylvania counties.

Despite those successes, the Administration and some members of Congress have challenged the law. There is increasing conversation about proposals that would upend the existing health care system by establishing a government-run, single-payer, universal Medicare program.

In light of the uncertain political environment, HAP has embraced a multi-faceted strategy to advocate for affordable, comprehensive coverage for as many Pennsylvanians as possible, and protection for access to care for everyone.

Efforts include:

  • Promoting insurance enrollment by partnering with the Pennsylvania Insurance Department to convene stakeholders to implement education and outreach strategies
  • Maintaining coverage gains by working with the state Congressional delegation and federal policymakers to maintain comprehensive health coverage and oppose Administrative policies that weaken coverage provisions
  • Supporting the Wolf Administration’s commitment to enforce consumer protections provided through the ACA, and to nurture a viable and stable insurance market 

As federal policymakers push alternative approaches to the ACA framework, including a single-payer model, the issues will require extensive conversation and attention

  • Disruption to employer-sponsored coverage
  • Access concerns that would stem from expanding reliance on public programs. Medicare and Medicaid have historically reimbursed providers less than the cost of care
  • The threat of decreased payment rates through the micro-management of Medicare and Medicaid, driven by politicians who are under pressure to address costs
  • Stifling of delivery system reforms that have improved care, enhanced quality, and reduced costs

HAP will continue to partner with federal and state officials, and health care stakeholders to maintain and expand access to meaningful coverage and high quality care.

ACA IMPACT – INFORMATION AND RESOURCES

HAP President and CEO Andy Carter Letter to Pennsylvania Delegation (Download PDF) - March 2017 PA Health Care Providers Letter to Pennsylvania Congressional Delegation ( Download PDF) - May 2017
AHA Letter to Members of Congress on AHCA (Download PDF) - February 2017
Report Card Health Care Transformation in PA (Download PDF) - February 2017

Related News

Urban Health Care Challenges Spotlighted in Hospital Roundtable with Federal Officials by admin

In the wake of the recent closure of Hahnemann University Hospital, Congressman Dwight Evans (D, PA-03)—a member of the U.S. House Ways & Means Committee—convened hospitals and health care stakeholders to engage in a conversation with policymakers, including Ways & Means Committee Chairman Richard Neal (D, MA-01), about safeguarding care in urban communities.

Pennsylvania Performing Well according to Updated Medicaid and CHIP Scorecard by jkissinger@haponline.org

The Centers for Medicare & Medicaid Services recently issued the first annual update to its Medicaid and CHIP scorecard with the addition of new data points, measures, and improved functions to access data. Pennsylvania is performing well.

HAP Expresses Support for SB 25 During Nurse Practitioner Week by admin

In recognition of Nurse Practitioner Week, The Hospital and Healthsystem Association of Pennsylvania (HAP) is expressing its support for Senate Bill 25. The bill, sponsored by Senator Camera Bartolotta (R-Washington), would allow certified nurse practitioners (CNP) to practice to the full scope of their license without the need for physician supervision after they have worked under such supervision for three years and 3,600 hours.

HAP Hosts Listening Session on Population Health Planning at Meadville Medical Center by jkissinger@haponline.org

During a listening session held at Meadville Medical Center, HAP and six hospitals educated regional state legislators about population health and wellness initiatives.

HAP Urges Pennsylvanians to Take Advantage of Marketplace Open Enrollment by admin

During an in-depth segment on NBC10’s @Issue, HAP President and CEO Andy Carter encouraged Pennsylvanians who are uninsured or currently covered through the Affordable Care Act’s Health Insurance Marketplace to take advantage of this year’s Open Enrollment. 

ACA Marketplace Open Enrollment Starts Today. What Pennsylvanians Need to Know by admin

The six-week Open Enrollment period for the Affordable Care Act (ACA) insurance marketplace HealthCare.gov runs today through December 15, 2019. Pennsylvanians who get their insurance through the marketplace, or who are uninsured, are encouraged to take advantage of this opportunity to get covered and stay covered. Despite what you may be hearing about the future of the ACA, these plans still have important consumer protections and benefits and they are available for coverage in 2020.

HAP-supported Telemedicine Bill Secures Senate Approval, Heads to House by admin

The State Senate today passed HAP-supported telemedicine legislation, Senate Bill 857, sponsored by Senator Elder Vogel (R-Beaver), and sent the bill to the House for consideration. As passed by the Senate, the bill will ensure broader access to health care services for all Pennsylvanians, especially those in medically underserved areas of the state.

U.S. House Takes Action to Promote Health Care Workforce, Transparency on Pharmacy Benefit Managers by admin

Yesterday, the U.S. House unanimously approved a series of bills poised to improve and strengthen our nation’s health care system by investing in health care workforce development and training programs; and authorizing new tools to improve the availability of information regarding drug prices.

HAP Continues to Advocate for Patients’ Timely Access to Care by admin

In Harrisburg today, patients, providers, and health care advocates joined legislative leaders in the state Capitol for a press conference in support of legislation to relieve patients and providers from excessive insurance red tape.

New Report Estimates Hospital Payments Will Be Cut by More than $252 Billion between 2010 and 2029 by Rmoore@haponline.org

A new report found that payment cuts enacted by the U.S. Congress and the Centers for Medicare & Medicaid Services (CMS) will result in more than $252.6 billion in reductions to hospitals between 2010 and 2029.

Related Blogs

Urban Health Care Challenges Spotlighted in Hospital Roundtable with Federal Officials by admin

In the wake of the recent closure of Hahnemann University Hospital, Congressman Dwight Evans (D, PA-03)—a member of the U.S. House Ways & Means Committee—convened hospitals and health care stakeholders to engage in a conversation with policymakers, including Ways & Means Committee Chairman Richard Neal (D, MA-01), about safeguarding care in urban communities.

Pennsylvania Performing Well according to Updated Medicaid and CHIP Scorecard by jkissinger@haponline.org

The Centers for Medicare & Medicaid Services recently issued the first annual update to its Medicaid and CHIP scorecard with the addition of new data points, measures, and improved functions to access data. Pennsylvania is performing well.

HAP Expresses Support for SB 25 During Nurse Practitioner Week by admin

In recognition of Nurse Practitioner Week, The Hospital and Healthsystem Association of Pennsylvania (HAP) is expressing its support for Senate Bill 25. The bill, sponsored by Senator Camera Bartolotta (R-Washington), would allow certified nurse practitioners (CNP) to practice to the full scope of their license without the need for physician supervision after they have worked under such supervision for three years and 3,600 hours.

HAP Hosts Listening Session on Population Health Planning at Meadville Medical Center by jkissinger@haponline.org

During a listening session held at Meadville Medical Center, HAP and six hospitals educated regional state legislators about population health and wellness initiatives.

HAP Urges Pennsylvanians to Take Advantage of Marketplace Open Enrollment by admin

During an in-depth segment on NBC10’s @Issue, HAP President and CEO Andy Carter encouraged Pennsylvanians who are uninsured or currently covered through the Affordable Care Act’s Health Insurance Marketplace to take advantage of this year’s Open Enrollment. 

ACA Marketplace Open Enrollment Starts Today. What Pennsylvanians Need to Know by admin

The six-week Open Enrollment period for the Affordable Care Act (ACA) insurance marketplace HealthCare.gov runs today through December 15, 2019. Pennsylvanians who get their insurance through the marketplace, or who are uninsured, are encouraged to take advantage of this opportunity to get covered and stay covered. Despite what you may be hearing about the future of the ACA, these plans still have important consumer protections and benefits and they are available for coverage in 2020.

HAP-supported Telemedicine Bill Secures Senate Approval, Heads to House by admin

The State Senate today passed HAP-supported telemedicine legislation, Senate Bill 857, sponsored by Senator Elder Vogel (R-Beaver), and sent the bill to the House for consideration. As passed by the Senate, the bill will ensure broader access to health care services for all Pennsylvanians, especially those in medically underserved areas of the state.

U.S. House Takes Action to Promote Health Care Workforce, Transparency on Pharmacy Benefit Managers by admin

Yesterday, the U.S. House unanimously approved a series of bills poised to improve and strengthen our nation’s health care system by investing in health care workforce development and training programs; and authorizing new tools to improve the availability of information regarding drug prices.

HAP Continues to Advocate for Patients’ Timely Access to Care by admin

In Harrisburg today, patients, providers, and health care advocates joined legislative leaders in the state Capitol for a press conference in support of legislation to relieve patients and providers from excessive insurance red tape.

New Report Estimates Hospital Payments Will Be Cut by More than $252 Billion between 2010 and 2029 by Rmoore@haponline.org

A new report found that payment cuts enacted by the U.S. Congress and the Centers for Medicare & Medicaid Services (CMS) will result in more than $252.6 billion in reductions to hospitals between 2010 and 2029.

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