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Health Care Reform

Pennsylvania hospitals support efforts to ensure coverage for all individuals. The framework established under the Affordable Care Act (ACA)—which offers subsidized coverage through health care insurance exchanges, combined with expanded access to Medicaid—provides the most viable pathway to expand coverage and reduce costs.

  • More than 1.1 million Pennsylvanians have benefited from access to coverage
  • Millions have benefited from consumer protections—coverage for pre-existing conditions, no lifetime limits, a minimum essential benefits package

HAP has produced an interactive state map to help the public and policymakers understand the Affordable Care Act’s health care coverage impact in the state’s Congressional districts.

In Pennsylvania, the ACA’s individual and small group health insurance plans remain stable. For 2019, in aggregate, individual plans will show a 2.3 percent rate decrease statewide and an average 2.6 percent increase for small group market plans. All but ten of Pennsylvania’s counties have more than one insurer offering coverage and additional insurers are joining the individual market in 30 Pennsylvania counties.

Despite those successes, the Administration and some members of Congress have challenged the law. There is increasing conversation about proposals that would upend the existing health care system by establishing a government-run, single-payer, universal Medicare program.

In light of the uncertain political environment, HAP has embraced a multi-faceted strategy to advocate for affordable, comprehensive coverage for as many Pennsylvanians as possible, and protection for access to care for everyone.

Efforts include:

  • Promoting insurance enrollment by partnering with the Pennsylvania Insurance Department to convene stakeholders to implement education and outreach strategies
  • Maintaining coverage gains by working with the state Congressional delegation and federal policymakers to maintain comprehensive health coverage and oppose Administrative policies that weaken coverage provisions
  • Supporting the Wolf Administration’s commitment to enforce consumer protections provided through the ACA, and to nurture a viable and stable insurance market 

As federal policymakers push alternative approaches to the ACA framework, including a single-payer model, the issues will require extensive conversation and attention

  • Disruption to employer-sponsored coverage
  • Access concerns that would stem from expanding reliance on public programs. Medicare and Medicaid have historically reimbursed providers less than the cost of care
  • The threat of decreased payment rates through the micro-management of Medicare and Medicaid, driven by politicians who are under pressure to address costs
  • Stifling of delivery system reforms that have improved care, enhanced quality, and reduced costs

HAP will continue to partner with federal and state officials, and health care stakeholders to maintain and expand access to meaningful coverage and high quality care.

ACA IMPACT – INFORMATION AND RESOURCES

HAP President and CEO Andy Carter Letter to Pennsylvania Delegation (Download PDF) - March 2017 PA Health Care Providers Letter to Pennsylvania Congressional Delegation ( Download PDF) - May 2017
AHA Letter to Members of Congress on AHCA (Download PDF) - February 2017
Report Card Health Care Transformation in PA (Download PDF) - February 2017

Related News

News Release: PA Hospital Opioid Learning and Action Collaborative Kicks off in Harrisburg by Rmoore@haponline.org

Pennsylvania hospital leaders and substance use disorder recovery specialists today met in Harrisburg to formally kick off The Hospital and Healthsystem Association of Pennsylvania’s Opioid Learning Action Network, a collaborative for and by Pennsylvania’s hospital community.

CMS Reports Show Enrollment in the Health Insurance Marketplace is Declining among Those Who Do Not Receive Subsidies by Rmoore@haponline.org

The Centers for Medicare & Medicaid Services (CMS) this week released two reports that identify trends in the individual health insurance marketplace (also known as the exchange) for 2018, and provide insight about the market for 2019. 

Report on Medicare Public Option’s Impact on Rural Hospitals Reveals Increased Closure Risks by admin
33 PA Health Care Groups Agree: Reform Insurance Prior Authorization Practices by admin

In HAP’s latest blog, President and CEO Andy Carter shares how a coalition of 33 health care organizations that represent Pennsylvania providers is calling for commonsense reforms to protect against prior authorization red tape that can keep patients from getting the health care they need when they need it.

Proposed Federal Rule Could Cut SNAP Benefits to Millions, Increase Food Insecurity by admin

Yesterday, the U.S. Department of Agriculture announced an upcoming a proposed rule that would limit its Supplemental Nutrition Assistance Program (SNAP), saving the department a reported $2.5 billion annually and cutting benefits to some three million people.

PA Hospital Rural Residency Program Receives Federal Recognition, Grant Funding by Rmoore@haponline.org

The U.S. Health Resources and Services Administration, Pennsylvania Department of Health, and the Lehigh Valley Health Network participated in an event that announced a grant to fund a new rural residency program in the commonwealth.

New Proposal Seeks to Fund Broadband to Boost Telemedicine in Rural Areas by Rmoore@haponline.org

The Federal Communications Commission (FCC) recently announced that it is seeking comment about its proposed Connected Care Pilot, a program that would help address a key barrier to implementing telemedicine in some rural areas—broadband access.

News Release: HAP Commends Philadelphia-area Hospitals, Government, Universities for Coming Together to Respond to Hospital Closure by Rmoore@haponline.org

Andy Carter, president and CEO of The Hospital and Healthsystem Association of Pennsylvania (HAP), today released the following statement regarding the hospital community’s response to the announced closure of Hahnemann University Hospital in Philadelphia.

Governor Wolf Signs State-Based Health Insurance Exchange Legislation by jkissinger@haponline.org

HAP President and CEO Andy Carter joined Governor Tom Wolf, lawmakers, and stakeholders for the signing of House Bill 3, which creates the Health Insurance Exchange Authority to operate a state-based health insurance exchange for individual market plans. 

The Challenges of Cancer Care in Rural Communities by admin

As part of its efforts to understand and address cancer health disparities, the American Society of Clinical Oncology (ASOC) examined the cancer incidence and mortality in urban and rural areas. 

Related Blogs

News Release: PA Hospital Opioid Learning and Action Collaborative Kicks off in Harrisburg by Rmoore@haponline.org

Pennsylvania hospital leaders and substance use disorder recovery specialists today met in Harrisburg to formally kick off The Hospital and Healthsystem Association of Pennsylvania’s Opioid Learning Action Network, a collaborative for and by Pennsylvania’s hospital community.

CMS Reports Show Enrollment in the Health Insurance Marketplace is Declining among Those Who Do Not Receive Subsidies by Rmoore@haponline.org

The Centers for Medicare & Medicaid Services (CMS) this week released two reports that identify trends in the individual health insurance marketplace (also known as the exchange) for 2018, and provide insight about the market for 2019. 

Report on Medicare Public Option’s Impact on Rural Hospitals Reveals Increased Closure Risks by admin
33 PA Health Care Groups Agree: Reform Insurance Prior Authorization Practices by admin

In HAP’s latest blog, President and CEO Andy Carter shares how a coalition of 33 health care organizations that represent Pennsylvania providers is calling for commonsense reforms to protect against prior authorization red tape that can keep patients from getting the health care they need when they need it.

Proposed Federal Rule Could Cut SNAP Benefits to Millions, Increase Food Insecurity by admin

Yesterday, the U.S. Department of Agriculture announced an upcoming a proposed rule that would limit its Supplemental Nutrition Assistance Program (SNAP), saving the department a reported $2.5 billion annually and cutting benefits to some three million people.

PA Hospital Rural Residency Program Receives Federal Recognition, Grant Funding by Rmoore@haponline.org

The U.S. Health Resources and Services Administration, Pennsylvania Department of Health, and the Lehigh Valley Health Network participated in an event that announced a grant to fund a new rural residency program in the commonwealth.

New Proposal Seeks to Fund Broadband to Boost Telemedicine in Rural Areas by Rmoore@haponline.org

The Federal Communications Commission (FCC) recently announced that it is seeking comment about its proposed Connected Care Pilot, a program that would help address a key barrier to implementing telemedicine in some rural areas—broadband access.

News Release: HAP Commends Philadelphia-area Hospitals, Government, Universities for Coming Together to Respond to Hospital Closure by Rmoore@haponline.org

Andy Carter, president and CEO of The Hospital and Healthsystem Association of Pennsylvania (HAP), today released the following statement regarding the hospital community’s response to the announced closure of Hahnemann University Hospital in Philadelphia.

Governor Wolf Signs State-Based Health Insurance Exchange Legislation by jkissinger@haponline.org

HAP President and CEO Andy Carter joined Governor Tom Wolf, lawmakers, and stakeholders for the signing of House Bill 3, which creates the Health Insurance Exchange Authority to operate a state-based health insurance exchange for individual market plans. 

The Challenges of Cancer Care in Rural Communities by admin

As part of its efforts to understand and address cancer health disparities, the American Society of Clinical Oncology (ASOC) examined the cancer incidence and mortality in urban and rural areas. 

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