Have you designated a representative to closely follow your state’s efforts in adopting ACA provisions and to track state-specific legislation?

With US Supreme Court’s decision to uphold the Affordable Care Act (ACA), provider care organizations and all health care system stakeholders are tasked with moving forward to comply with the law.

Indeed, we face a time of great uncertainty and volatility, but also a time where collaborative approaches can provide direction — and protection. Those organizations willing to reinvent themselves as valued partners will be best positioned to prevail on the new horizon.

Considerations for your board and executive leaders

Impact of federal ACA initiatives

• Now that the rollout of the ACA is continuing full speed ahead, is your organization prepared to optimize ACA provisions such as ACOs and bundled payment plans while considering the impact that ACA reductions in payments will have on your operations and finances?
• Has your organization reassessed its strategic goals and its ability to achieve them given coming pay cuts, new payment methodologies and changes to value based outcomes? How are your leaders evaluating their individual roles in helping your organization meet its strategic goals? Are you pursuing opportunities to participate in value-based purchasing initiatives, whether with Medicare, your state’s Medicaid program or private health insurers in your marketplace?

Impact of state ACA initiatives

• Have you designated a representative to closely follow your state’s efforts in adopting ACA provisions and to track state-specific legislation and the impacts these efforts may have on your organization’s operations and finances?
• Has your state determined whether it will adopt the ACA’s Medicaid expansion? If not, are any changes contemplated in current Medicaid coverage, eligibility and payment structures? Do you have an individual tasked with following planned changes to your state’s Medicaid program and the implications these changes will have on your census, emergency room visits, outpatient services and finances?

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