The Affordable Care Act at 5 Years.

@article{Blumenthal2015TheAC,
  title={The Affordable Care Act at 5 Years.},
  author={David Blumenthal and Melinda K. Abrams and Rachel Nuzum},
  journal={The New England journal of medicine},
  year={2015},
  volume={372 25},
  pages={
          2451-8
        }
}
This report marks the fifth anniversary of the Affordable Care Act. The authors discuss the ACA's effects on health care access, quality, and cost resulting from the law's expansion of health insurance coverage and reforms of the U.S. health care delivery system. 

Figures from this paper

The Affordable Care Act, Five Years Later: Policies, Progress, and Politics.

  • Miriam Reisman
  • Medicine, Political Science
    P & T : a peer-reviewed journal for formulary management
  • 2015
The Affordable Care Act, which recently survived a second Supreme Court challenge, has increased health care access without causing most of the disruption critics feared.

The Social, Political, and Economic Effects of the Affordable Care Act: Introduction to the Issue

The Patient Protection and Affordable Care Act, commonly referred to as the ACA and signed into law on March 23, 2010, was the most significant reform of the American health-care system since the

Health Care Reform And A Failed Vision Of Bipartisanship.

  • T. Jost
  • Medicine, Political Science
    Health affairs
  • 2016
The Affordable Care Act transformed health care in the United States. What hasn't changed is the partisan landscape in which it became law.

Insurance Coverage and Access to Care Under the Affordable Care Act.

About 20 million individuals gained coverage under the law and access to care improved, and more than 27 million individuals are still uninsured, and many others face barriers in accessing care.

How The ACA Dented The Cost Curve.

The direct and indirect effects of the ACA on spending across segments of the health insurance market are reviewed and it is emphasized that the ACA's long-run impact on spending will depend on sustaining the adjustments made to provider payment systems and expanding the emphasis on value across payers throughout theACA's second decade and beyond.

Effects of the Affordable Care Act on Health Care Access and Self-Assessed Health After 3 Years

An improvement in the probability of reporting excellent health emerged in the third year, with the effect being largely driven by the non-Medicaid expansions components of the policy.

Ambulatory care pharmacy: Realizing the potential for patient access and operational excellence

Since the 1983 amendments to the Social Security Act, hospitals have undergone a paradigm shift in their operations. Previously able to bill Medicare retrospectively for the actual costs of the care

Innovative Payment and Practice Models

  • P. EsselmanS. Glassman
  • Medicine, Political Science
    PM & R : the journal of injury, function, and rehabilitation
  • 2015

The effect of the Affordable Care Act on Medicaid payments in long-term care facilities

It was found that the ACA has increased Medicaid payments, and the number of uninsured patients has decreased, and quality of care has been improved through a decrease of readmissions, ulcers, and falls in long-term care facilities.

Practice Management Innovative Payment and Practice Models

A central feature of efforts to achieve the Triple Aim is a move away from the traditional fee-for-service model of reimbursement toward a value-based model that emphasizes quality of care and patient outcomes.
...

References

SHOWING 1-10 OF 17 REFERENCES

Evaluation of the Comprehensive Primary Care Initiative: First Annual Report

This first annual report to CMS describes the implementation and impacts of the Comprehensive Primary Care initiative over its first year.

A path forward on Medicare readmissions.

Under Medicare's Hospital Readmissions Reduction Program, two thirds of U.S. hospitals will receive penalties of up to 1% of Medicare reimbursements. But the program could exacerbate disparities in

Setting value-based payment goals--HHS efforts to improve U.S. health care.

  • S. Burwell
  • Medicine
    The New England journal of medicine
  • 2015
New targets have been set for value-based payment: 85% of Medicare fee-for-service payments should be tied to quality or value by 2016 and 30% through alternative payment models by 2018.

Changes in patients' experiences in Medicare Accountable Care Organizations.

Differential improvements in timely access to care and overall ratings were equivalent to moving from average performance among ACOs and were robust to adjustment for group differences in trends during the preintervention period.

The rise in health care coverage and affordability since health reform took effect: findings from the Commonwealth Fund Biennial Health Insurance Survey, 2014.

New results from the Commonwealth Fund Biennial Health Insurance Survey, 2014, indicate that the Affordable Care Act's subsidized insurance options and consumer protections reduced the number of

Changes in Health Insurance Enrollment Since 2013: Evidence from the RAND Health Reform Opinion Study.

The analysis presented here examines changes in health insurance enrollment between September 2013 and March 2014; overall, the authors estimate that 9.3 million more people have health care coverage in March 2014, lowering the uninsured rate from 20.5 percent to 15.8 percent.

Association of Pioneer Accountable Care Organizations vs traditional Medicare fee for service with spending, utilization, and patient experience.

In the first 2 years of the Pioneer ACO Model, beneficiaries aligned with Pioneer ACOs exhibited smaller increases in total Medicare expenditures and differential reductions in utilization of different health services, with little difference in patient experience.

Characteristics of hospitals receiving penalties under the Hospital Readmissions Reduction Program.

This study examines the risk of penalties for US hospitals that care for medically complex or socioeconomically vulnerable patients, namely large teaching hospitals and safetynet hospitals and found that large hospitals, teaching hospitals, and SNHs are more likely to receive payment cuts under the HRRP.

Appointment availability after increases in Medicaid payments for primary care.

This study provides early evidence that increased Medicaid reimbursement to primary care providers, as mandated in the ACA, was associated with improved appointment availability for Medicaid enrollees among participating providers without generating longer waiting times.

Taking Stock: Health Insurance Coverage under the ACA as of September 2014

This brief examines continued changes in the uninsurance rate for nonelderly adults through September 2014, when the most recent round of the Health Reform Monitoring Survey (HRMS) was completed.