These are historic times in Washington and among our country’s healthcare providers and consumers. After a century of discussion and debate, reform has passed. Our future will be impacted personally and professionally for years to come. We are entering what is likely to be a decade of transformational change.
A number of recently implemented federal policies are intended to reduce hospital readmissions. These include Medicare payment reforms that penalize hospitals for relatively high readmission rates, funding for care transition management services, programs that offer technical assistance to hospitals, and delivery system reforms and initiatives that help coordinate patient care across settings. Read Premier’s policy paper on hospital readmissions.
The Affordable Care Act contains two provisions regarding the development of bundled payment programs: one, a national, voluntary bundled payment program in Medicare; the second, a Medicaid demonstration project. Read Premier’s policy paper on bundled payments.
The Affordable Care Act (ACA) also made major changes to the Medicare program to move our healthcare system away from a payment system that pays providers for the volume of services to one that rewards providers in part based on performance on quality and outcomes. Read Premier’s policy paper on hospital quality improvement programs.
Regulations and guidance
- Consumer support and information
- Content requirements for Healthcare.gov
- Pre-existing condition insurance plan (PCIP)
- Early retiree reinsurance program (ERRP)
- Affordable insurance exchanges
- Minimum acceptable risk standards
- Premium stabilization programs
- State innovations
- Consumer operated and oriented plans program
- Health market reforms
- Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Summaries and side-by-side comparisons
- Kaiser Family Foundation side-by-side comparison of healthcare reform bills
Affordable Care Act provisions
- Accountable care organizations/Medicare Shared Savings Program
- Medicare hospital value-based purchasing
- Comparative effectiveness research
- Healthcare transparency
- Healthcare disparities
- Nonprofit hospitals
- Reimbursement & quality
- Inpatient PPS
- Outpatient PPS and ambulatory surgical centers
- Budget Reconciliation bill (See document below).