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What if the Affordable Care Act (ACA) is Overturned?


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What if the Affordable Care Act is overturned? This brief slideshow explores what would happen to Meaningful Use, Accountable Care Organizations, and the effect on health care technology.

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What if the Affordable Care Act (ACA) is Overturned?

  1. 1. What if the Affordable Care Act (ACA) is Overturned?
  2. 2. Most Important• Meaningful Use is NOT affected • EHR Incentives are under a separate piece of legislation – The American Recovery and Reinvestment Act (ARRA)
  3. 3. Outcome Speculation is Futile• Lower courts have differing opinions – doesn’t provide much insight for future of ACA• Supreme Court is reading lower court opinions• SCOTUS decision based on each individual Justice’s opinion
  4. 4. The ACA ship has already leftthe Port – 2 years ago!• ACA has been in effect as a statutory law for 2 years now – Is it possible to go back now?
  5. 5. What about Accountable CareOrganizations (ACOs)?• They’re okay!• Model will be moving forward regardless• Use of Medicare claims data is separately authorized
  6. 6. What about Accountable CareOrganizations (ACOs)?• Only funding will be impacted.• But! On ACO government contracts, general provisions can be canceled at any time. However, there will be a transition period if funds or contract is canceled.
  7. 7. If all of the ACA goes away…• It would be hard to proceed without a new statutory authority• It would halt movement of the vast federal system in areas of quality, reporting and standards for health IT• It would impact the utility and funding of the health IT adoption movement
  8. 8. If all of the ACA goes away…• It would NOT stop adoption of interoperability and health IT – this movement has already been triggered• Expect a decision before July 1st.
  9. 9. Potential Decision Paths
  10. 10. No Anti-Injunction Act (AIA) Yes Medicaid Expansion Not Severable No Severable Yes Implementation Continues unless Ind. Mandate struck Expansion voided, but down and found not Expansion voided and rest of ACA continues severable now or after other ACA provisions 2014 hearing may be deemed null and void Individual Mandate If ‘Caid Expansion upheld, Not Severable No Severable the last legal ACA Yes challenge is cleared andSome or all other ACA Mandate voided, but ACA proceeds with provisions may be rest of ACA continues implementationdeemed null and void Individual Mandate Implemented - 2014
  11. 11. Learn more!Our website hosts a wealth of freeresources, including white papers,case studies, an industry blog, anewsletter covering current events andtrends in health care, tips and tricks foryour practice, and other informativearticles.