How Does Health Care Reform Impact Hospitals?
Provisions of the Affordable Care Act that most impact hospitals are:
- Expansion of health care coverage for uninsured individuals
- Changes to Medicare and Medicaid payments to hospitals and other providers
- Establishment of programs to improve the cost-effective delivery of quality care
Helping Pennsylvanians Find Insurance Coverage
Implementation of health care reform is well
underway as the health insurance marketplace for individuals and small
businesses seeking affordable health insurance is established, and states are
allowed to expand eligibility for Medicaid health coverage to low-income
working adults and their families.
As Pennsylvanians shop for coverage through the
state’s federally facilitated marketplace, they can get help from a number of
organizations designated as navigators, in-person assistance personnel, or
certified application counselors.
HAP and DVHC of HAP are working with the
Pennsylvania navigators to educate and assist hospitals and health systems in
supporting individuals seeking health insurance coverage through the insurance marketplace.
HAP continues to monitor the enrollment process for
Pennsylvanians, and works with its member hospitals on educating consumers and employers
about opportunities to secure affordable health insurance coverage.
In addition, as the public, policymakers, and the media debate the meaning of
Medicaid expansion in the context of the Governor’s Healthy PA initiative to reform the
Medicaid program, hospitals remain focused on expanding coverage for more Pennsylvanians.
HAP Working With State Agencies on Health Care
Delivery System Reform
An integral part of health care reform is the
transformation of the health care delivery system to one that focuses
simultaneously on three aims: better health, better care, and lower costs.
In an effort to achieve this objective, many new
models of care are being developed and implemented, including accountable care
organizations, bundled payment initiatives, patient-centered medical homes, and
population health management.
Pennsylvania received a grant
to develop a health care plan designed to foster approaches to care and
payment that improve access, management of chronic disease, and coordination of
care. HAP is working with the Pennsylvania Department of Health and the
Department of Public Welfare on the development of the new care model.