Affordable Care Act

The 2010 health care reform law that established federal subsidies for millions of Americans purchasing individual market health insurance through federally and state run health insurance exchanges, and allowed states to expand their Medicaid programs to cover all adults with income below 138% of the federal poverty level, among other provisions.

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Medicaid: A Primer on the Federal-State Partnership

Medicaid will play a major role in extending coverage to millions of uninsured people in 2014 through provisions in the Patient Protection and Affordable Care Act.  More than 16 million newly qualified individuals are expected to enroll as a result of the law. What is Medicaid and what is its role in the health care […]

Boomers Come of Age: Covering Early Retirees and Other 50-64 Year-Olds

Unemployment has hit everyone hard since the economic downturn began in 2007. And while workers age 50-64 tend to have lower rates of uninsurance than other age groups, they are especially hard hit by losing their jobs and with them their employer-sponsored health benefits. About 8.6 million adults ages 50 to 64 were uninsured in […]

Innovations in Primary Care: What’s in the ACA?

One of the goals of the Affordable Care Act is improving the quality of health care while also slowing the growth of spending. This will not be easy as 30+ million individuals gain insurance and the need for chronic care coordination increases with an aging population. In order to meet this challenge, the law aims […]

What Does the Election Mean for Health Reform and Other Health Issues?

Health reform is law. But how the law is implemented, and how quickly, depend in part on the results of the midterm election. Now that the leadership of the House will soon change hands, what might Republicans do with respect to health reform? How might Democrats respond? What’s likely to happen with reform in the […]

Designing a Marketplace that Works: Steps to Affordable Coverage

The Affordable Care Act (ACA) enacted in March 2010 calls for the establishment of state health insurance exchanges – marketplaces through which individuals and small businesses can purchase affordable insurance. These exchanges must begin operation by January 1, 2014. Between now and then, both federal and state officials have many decisions to make and many […]

Getting Connected: Can the ACA Improve Access to Health Care in Rural Communities?

All states, even those with large centers of urban population, have rural communities and rural residents among their citizens. Residents of rural communities face unique health care challenges, including fewer health care providers, higher rates of chronic disease, and lower adoption rates of health IT. Many provisions in the Patient Protection and Affordable Care Act […]

More Than Meets the Eye: Long-Term Care Provisions in the New Reform Law

Most of the emphasis during the health reform debate centered on affordable health coverage for the uninsured, strategies to control the growth in health care spending, and delivery system reforms. Relatively little attention was given to the many provisions of the new law that deal directly with long-term care. For instance, the Affordable Care Act […]

Health Reform Implementation: When Sausage-Making Moves Downtown

Now that the Patient Protection and Affordable Care Act is law, what’s happening behind the scenes (as well as in public) to implement it? This briefing, cosponsored by the Alliance and the Robert Wood Johnson Foundation, provided an overview of federal policymaking and the efforts by stakeholders and others to affect final policies pertaining to […]

What’s Next? Reporting on Health Reform Between Now and 2014

For reporters covering health reform, the subject can now seem more complicated than ever. Implementation timelines go on for page after page. Many questions appear to have no answers, at least not yet. Seems like a good time to take a breath and plot out how to cover health reform for the rest of this year, and […]

The New Health Reform Law and Young Adults

Young adults have some of the highest uninsurance rates in America. In 2008, three in 10 uninsured Americans– almost 14 million people – were between 19 and 29 years of age. As the health reform legislation was developed, it became evident that covering the uninsured in this age group would be a major component of […]

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