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Health Reform Map: Leading the Health Care Transformation in Pennsylvania

Last Updated: 1/3/2012

At the end of March 2010, President Obama signed comprehensive health reform legislation into law, the Affordable Care Act. HAP has compiled the following resources to help hospitals with the implementation of the various provisions of the health reform legislation.

Resources from HAP

Issue Briefs (pdf)
- Health Insurance:
- Quality and Safety:
  - Prevention and Wellness
  - Hospital Readmissions
  - Hospital-Acquired Conditions
- Payment Policies:
  - Medicare Payment
  - Value-Based Purchasing
- Workforce:
  - Hospitals as Employers
  - Workforce and the Workplace Environment
- Continuum of Care:
- Hospitals as Tax-Exempt Institutions:
  - Hospitals as Tax-Exempt Institutions
HAP Summary: The Patient Protection and Affordable Care Act (ACA) of 2010 and the Health Care and Education Affordability Reconciliation Act (HCEARA) of 2010 (pdf) - A detailed summary of key aspects of the law which impact hospitals.
Presentation: Health Reform—Transitioning to the Future (pdf) that you and your senior team can use in internal presentations to your board, medical staff, leadership team, and other constituency groups.
Timeline for Major Provisions in Health Care Reform Patient Protection and Affordable Care Act (Public Law 111-148) 2010-2014 (pdf) - A detailed timeline for the next five years that outlines the implementation of major provisions by category.
Healthcare.gov Implementation Center offers materials on implementing the Affordable Care Act, including an interactive map to select and view state specific activities and funding on health reform.
National Conference of State Legislators’ Checklist for Health Reform Implementation (pdf) allows you to measure your state’s progress in implementing provisions of the health reform law.
State Legislative Tracking Database is intended to capture state actions related to the Affordable Care Act.

Resources from the American Hospital Association (AHA)

The AHA has created a new section on its website to assist its members with understanding the changes that health reform legislation will bring, and to provide tools and resources to help its members implement the changes.
AHA Report of the Task Force on Variation in Health Care Spending - January 10, 2011 (pdf)
Summary of 2010 Health Care Reform Legislation: The Patient Protection and Affordable Care Act (H.R. 3590) and Health Care and Education Reconciliation Act (H.R. 4872) (pdf)
AHA Health Care Reform Implementation Timeline - May 2010 (pdf)

Payment Provisions

Three-Year Estimated Projections—Health Care Reform Impact on Medicare Provider Payments: The hospital-specific report (contact Martin Ciccocioppo, HAP’s vice president, research, at (717) 561-5363) provides members with an estimate of the short-term payment implications of the recently signed health care reform laws.
- Description of HAP Report: Three-Year Estimated Projections—Health Care Reform Impact on Medicare Provider Payments (pdf)
HAP Summary: Acumen Area Wage Index Study (pdf)
Affordable Care Act Update: Implementing Medicare Cost Savings (pdf)
Medicare: Private Sector Initiatives to Bundle Hospital and Physician Payments for an Episode of Care, GAO-11-126R, January 31
HAP Comment Letter to CMS on Hospital Inpatient Value-Based Purchasing Program Proposed Rule (pdf)

Health Care Delivery System Reform

GAO Report - HHS Research Awards: Use of Recovery Act and Patient Protection and Affordable Care Act Funds for Comparative Effectiveness Research - June 14, 2011 (pdf)
HAP Summary of Regional Discharge Planning Focus Group Meetings (pdf)

Accountable Care Organizations (ACO)

HAP Memo 11-34 on Proposed Rules for Accountable Care Organizations
HAP Memo 11-30 on CMS’ Medicare Shared Savings Program Proposed Rule
How to Create Accountable Care Organizations from the Center for Healthcare Quality and Payment Reform
OIG guidance related to ACOs
ACO Medicare Shared Savings Final Rule
DOJ/FTC Final Statement of Anti-Trust Enforcement Regarding ACOs
The OIG Interim Final Rule on ACO Waivers
The IRS Fact Sheet on ACOs

Health Information Technology Incentive Programs

HAP Health IT Resource - Martin Ciccocioppo, HAP’s vice president, research, at (717) 561-5363
Workflow Assessment for Health IT Toolkit - A new toolkit funded by AHRQ to assist small and medium sized practices with workflow analysis and redesign before, during, and after health IT implementation.
Connecting America for Better Health: The Official CMS Website for the Medicare and Medicaid EHR Incentive Programs
- Final Meaningful Use Rule (July 28, 2010) (pdf)
- Final Meaningful Use Criteria Rule (July 28, 2010) (pdf)
CMS State EHR Incentive Program Launch Times and HIT Websites Map
HAP Memo 10-88 on Electronic Health Record Incentive Program—Final Rule
HAP Memo 10-80 on Final Meaningful Use Rules Released
Office of the National Coordinator for Health Information Technology (ONC) United States Department of Health and Human Services—Health Information Technology For the Future of Health and Care
Final Temporary Certification Rule (June 24, 2010) (pdf)
The American Hospital Association—Health IT — Meaningful Use Resources
Pennsylvania Department of Public Welfare—Medical Assistance Health Information Technology Initiative
Pennsylvania eHealth Collaborative
Pennsylvania eHealth Initiative (PAeHI)
Certification Commission for Health Information Technology (CCHIT)

Coverage Resources

The Pre-Existing Condition Insurance Plan (PCIP) program helps people who have been locked out of the individual insurance market because of their health. The PCIP is a bridge program—only available until 2014—when new insurance rules go in to effect. A number of resources are available to promote the program:
Health Care Reform Coverage Expansion Payment Estimator (Microsoft Excel) - Spreadsheet to help you model various scenarios for the value of coverage expansions under the federal health care reform law.
Kaiser Family Foundation Summary of Coverage Provisions in the Patient Protection and Affordable Care Act

Insurance Provisions

Prevention and Wellness

Grandfathered Health Plans

Grandfathered Health Plans Regulation (pdf)
HAP Memo 10-71 on Grandfathered Health Plans under the Health Reform Law
Fact Sheet: Keeping the Health Plan You Have: The Affordable Care Act and “Grandfathered” Health Plans
Questions and Answers: Keeping the Health Plan You Have: The Affordable Care Act and “Grandfathered” Health Plans

PA Insurance Department

PA Fair Care - Pennsylvania’s health plan for uninsured adults with pre-existing conditions
PA Fair Care Fact Sheet (pdf)
Insurance Commissioner Joel Ario’s Testimony on Federal Health Insurance Reform (May 27, 2010) (pdf)

Tax-Exempt Hospital Requirements

HAP Memo 10-68 on IRS Seeking Comments on New Requirements for Tax-Exempt Hospitals
IRS New Requirements for Tax-Exempt Hospitals (pdf)

Hospitals as Employers

HAP Memo 10-97 on Affordable Care Act Requirement: Reasonable Break Times for Nursing Mothers
CFO Memo 10-56 on Affordable Care Act Early Retirement Reinsurance Program
Society for Human Resource Management (SHRM) - Resources include a health care reform resource page, webcasts, articles, and the latest news. The site contains both “free” and “members only” information.
Hewitt Associates - Available resources include webcasts and publications.
HealthReform.gov - Available resources include videos, webcasts, links, news, Q&As, and a blog.
National Association of Insurance Commissioners - Available resources include a special section devoted to the Affordable Care Act, general resources, links, and Q&As. General information in the Special Section: Health Care Reform is open to the public.
Internal Revenue Service