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North Carolina Hospital Association

Serving North Carolina Hospitals & Health Systems

Health Reform Resources

AHA Compendium of Federal and State Health Insurance Reform Actions Required by the Affordable Care Act
This compendium outlines some of the major insurance market reform provisions of ACA and briefly outlines actions of the HHS Secretary, other federal agencies and stakeholders, including the NAIC, that will require state consideration and action.

AHA Hospitals in Pursuit of Excellence: A Compendium of Implementation Guides
This compendium of guides, reports, and toolkits provides a wealth of actionable resources to help you design and implement strategies as you take your hospital to the next level of performance and address the challenges and opportunities of implementing health care reform.

AHA Bundled Payment Report
The first in a series of periodic reports, this AHA Research Synthesis Report examines the current evidence base on the design and impact of bundled payments and identifies knowledge gaps that still need to be answered as both the public and private sectors actively pursue this payment approach as a solution to current care delivery and quality issues.

AHA: A Strategy for Implementing Health Care Reform
A tri-fold brochure outlining key topics and bullet points for health care reform

AHA Patient-Centered Medical Home
This synthesis report presents an overview of the Patient-Centered Medical Home (PCMH), including key features, discussion of federal, state, and private sector medical home models, and considerations for hospitals interested in developing a PCMH.

AHA Letter to Sandy Praeger
A letter sent to Sandy Praeger, Chair, NAIC Health Insurance and Managed Care Committee regarding the draft medical loss ratio rebate model regulation that implements provisions of the Patient Protection and Affordable Care Act.
AHAPraegerLetterHighlighted.pdf (contains highlighted text)

AHA Letter to Kathleen Sebelius
A letter sent to Kathleen Sebelius, Secretary, US Dept. of Health and Human Services regarding the development of strategic priorities for health care quality.

NCAFP: Family Physician Hospital Affiliation White Paper
Changes in health policy and reimbursement are forcing independent private practice physicians to consider integration with hospitals. From the strategic perspective of the North Carolina family physician, this White Paper explores the reasons driving these trends, the advantages and disadvantages of various hospital-physician integration options, and finally, provides a detailed analysis of the hospital employment model.

CMS List of FAQs
Over 100 CMS questions answered.

IHI Achieving the Triple Aim: Summaries of Success
Five Triple Aim Success Stories. The Triple Aim is an initiative of the Institute for Healthcare Improvement aimed at helping health care organizations simultaneously achieve improvements in the individual experience of care, the health of the population, and the per capita cost of care.

NCHA Triple Aim: Transforming Healthcare in North Carolina
NCHA's Triple Aim outline for transforming healthcare: improve population health, enhance experience of care, reduce per capita cost.

IRS Nonprofit Hospital Requirement
The IRS solicited comments regarding certain requirements of the Affordable Care Act that affects nonprofit hospitals. Important points are highlighted.

PPAC Nonprofit Comment
Letter to Douglas Shulman, Commissioner of Internal Revenue regarding the IRS request for comments on additional requirements for tax-exempt hospitals

Health Reform Implementation Timeline
The Kaiser Family Foundation compiled a timeline with implementation dates for key provisions in the comprehensive health reform law.

NAIC Response to Section 2718 of the Public Health Service Act
Questions and answers to request for information regarding section 2718 of the Public Health Service Act. Taken from the Federal Register on April 14, 2010.

NAIC Response to Section 2794 of the Public Health Service Act
Questions and answers to request for information regarding section 2794 of the Public Health Service Act. Taken from the Federal Register on April 14, 2010.

New Models of Care -- Section-by-section Analysis

PPACA Update
Immediate PPACA Provisions for Hospitals in 2010

Impact of 2010 Elections on Healthcare Reform
Harvard School of Public Health moderated discussion with Douglas Holtz-Eakin, President of American Action Forum, Davit Cutler, Harvard Professor of Applied Economics, and Robert Blendon, Professor of Health Policy and Political Analysis at Harvard School of Public Health.
Link to On-Demand Video

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