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  • Health Care Reform Implementation

    Health Care Reform

    About Health Care Reform

    The Patient Protection and Affordable Care Act (PPACA) offers the opportunity to greatly expand access to HIV prevention, care and treatment. Enrollment for the major component of PPACA that significantly expands access to health care coverage begins Oct. 1, 2013 for coverage effective Jan. 1, 2014.

    HIVMA responses to key PPACA implementing regulations are available under “Comments.” PPACA information for HIV providers is available under “Resources.

    Learn more.

    The Latest Updates & Resources on Health Care Reform Implementation


    Issue Brief: Accountable Care Organizations ACO Considerations for HIV Medical Providers

    This publication has been developed for HIVMA by Hart Health Strategies Inc. as an educational tool for use by physicians and their professional advisors. The publication may not be used in any manner that violates law or the rights of any party.

    Open Enrollment - March 2014 Update

    Open enrollment in the Health Insurance Marketplaces ends March 31, 2014 for coverage in 2014. Enrollment in Medicaid and the Children Health Insurance Program is open throughout the year. This is an update to previous versions of this fact sheet.

    The Ryan White and Health Insurance Interface: One Clinic's Approach

    Jana Collins, who manages the Ryan White Program grant for the Bluegrass Care Clinic in Kentucky, presents the clinic's approach to assisting insured patients with cost sharing, and explain how the clinic accounts for these patients in its Ryan White Program grant reports.

    Exceptions and Appeals: Knowing Your Patients’ Rights

    The Patient Protection and Affordable Care Act (ACA) established new protections allowing medical providers to challenge adverse health plan coverage decisions. This fact sheet was created to help HIV providers assist their patients with these processes.

    HIVMA and RWMPC Support Ryan White Premium Assistance Programs

    A joint letter from HIVMA and the Ryan White Medical Providers Coalition (RWMPC) to Secretary Sebelius urging HHS to require Qualified Health Plans to accept third-party premium payments from Ryan White programs.

    Strategies for Health Insurers to Optimize Coverage for People with HIV

    HIVMA and AAHIVM recommendations for public and private insurers to support quality, cost-effective HIV Care.

    HIVMA Urges Essential Health Benefits Support HIV Care Standards

    HHS should set a higher national benefits standard that protects people with HIV from discriminatory practices. HIVMA’s recommendations focus on prescription drugs, chronic disease management and mental health and substance use services.

    HIVMA Comments on CMS RFI Regarding Health Plan Quality in Insurance Exchanges

    HIVMA commented on CMS’s request for information regarding health plan quality in health insurance exchanges, highlighting existing HIV-related measure sets and emphasizing the importance of ensuring effective clinical quality measurement while minimizing the burden of data collection by aligning measures across programs.


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