The Affordable Care Act
Assessing the Impact of the ACA Supreme Court Decision
This on-demand webinar, led by HFMA technical directors, walks through the implications of the ACA ruling, discusses the impact of potential election scenarios, and identifies strategies to pursue to improve the quality of health care while increasing the efficiency of care delivered.
Legal Challenges to Healthcare Reform Legislation
The U.S. Supreme Court upheld most of the ACA in its June 28, 2012 ruling. Here are summaries to four key questions and other related resources.
HFMA Summary of Key Provisions in Healthcare Reform Legislation
On March 30, 2010, President Obama signed the Health Care and Education Reconciliation Act of 2010, the final piece in Congress’s healthcare reform legislative package. This summary highlights key provisions of the healthcare reform legislation that impact providers.
The Commonwealth Fund's Health Reform Resource Center provides a timeline and summary of key provisions in the Affordable Care Act.
Payment & Care Delivery Reform Initiatives
Pursuing Bundled Payments: Lessons from the ACE Demonstration
Participants in CMS's ACE demonstration project share strategies and tactics for participating in bundled payment initiatives.
ACO Final Rule Executive Summary and Section Highlights
This document provides a summary of CMS's shared savings program final rule and highlights the rule's changes by section.
Pioneer ACO Model
This document provides noteworthy highlights of what the Pioneer ACO Model is and details of shared savings options.
This HFMA Compendium, "Bundled Payments: An Opportunity Worth Pursuing?" brings together a group of recent articles from HFMA publications exploring potential benefits and risks in bundled payments, as well as strategies and tips for organizations that decide to pursue bundled payment opportunities.
HFMA's ACO Compendium is a compilation of articles and resources that presents a variety of perspectives on ACOs.
Tools
Readmission Reduction Program Tool
Use a tool developed by CBIZ KA Consulting Services, LLC that allows organizations to see how their facility is affected by the Readmission Reduction Program.
Physician-Hospital Integration
In its most recent payment reform project white paper, HFMA identifies physician-hospital integration as a key competency for success under reform. View a checklist of integration strategies.
Charity Care and Community Benefit
Health reform legislation places new community benefit and financial assistance requirements on tax-exempt providers. Use these tools to:
CMS Shared Savings/Loss Calculator
This spreadsheet, based on the CMS final shared savings rule, can be used to calculate potential shared savings/losses from forming a Medicare ACO.
HFMA’s Payment Reform Project White Papers
Since 2007, HFMA has led a payment reform thought leadership initiative to identify the principles that should guide changes to the current healthcare payment system and the competencies that providers will need to succeed under reform. The initiative’s findings and recommendations are summarized in these white papers:
Healthcare Payment Reform: From Principles to Action (Sept. 2008)
Healthcare Payment Reform: A Call to Action (June 2009)
Healthcare Payment Reform: Accelerating Success (February 2010)
Integration in a Reform Environment: Strategies for Success (June 2010)
Additional Resources
HFMA Comments on Attributes of Tax-Exempt Healthcare Providers
In this June 18, 2009, comment letter to Sen. Max Baucus (D-Mont.), chairman of the Senate Finance Committee, HFMA encourages moving away from a narrow focus on charity care in discussions of not-for-profit hospitals’ tax-exempt status.
HFMA's Value Project
Value-focused reforms to today’s payment system are a major component of healthcare reform and providers need to be prepared. HFMA publishes a series of reports as part of its Value Project, which is an ongoing study on how finance leaders are cultivating and communicating value at their organizations.
Comeback America: The Nation's Fiscal Challenge and a Way Forward
This document contains slides from former U.S. Comptroller General David Walker's presentation at ANI: The 2012 HFMA National Institute. They assess how the nation's budget challenges affect healthcare finance and discuss the solutions to restore fiscal sustainability.
