Implementation of the Affordable Care Act (ACA) is proceeding as states and communities across the nation make key decisions about Medicaid Expansion, the Insurance Exchanges and Accountable Care Organization development. Below is an overview of some of the latest resources available to track progress.
Recent weeks have seen a lot of movement on the Medicaid Expansion front. Newly expanding states include Florida, New Jersey, and Ohio while Wisconsin has announced that it will reject federal dollars but has a plan to decrease its uninsured population by half. On the “No” side, North Carolina lawmakers recently voted to bar the Medicaid expansion, as did Pennsylvania’s governor, although recent news suggests that the governor may be having a change of heart.
To track the progress of each state there are a number of resources, including this link by The Advisory Board Company that includes the date of the announcement for or against the expansion by each state’s governor: http://www.advisory.com/Daily-Briefing/2012/11/09/MedicaidMap
The Center for American Progress is also tracking Medicaid expansion including data about how many patients may be affected in each state:
Insurance Exchange Implementation
State ReForum is tracking exchange development via the following map:
Accountable Care Organization Development
The National Academy for State Health Policy (NASHP) has developed an excellent overview of ACO development at the state level. Focused on ACOs that incorporate Medicaid or CHIP populations, the map is a good place to start to learn more about how different states are approaching ACO development and implementation.
At Capital Link, we are also doing our best to track ACA adoption and progress and share best practices with health centers and Primary Care Associations. Feel free to contact us for more information.