There were both victories and challenges for the Obama administration in 2014, as it continued to implement the Affordable Care Act. On the eve of Thanksgiving, this edition of “Road to Reform” ponders what the administration might be giving thanks for in 2014 — as well as some developments it might not be so grateful for.
Rural hospitals stand to benefit from many of the Affordable Care Act’s provisions, but some of those benefits have been delayed and others have been changed in court. How are rural hospitals faring under the health reform law so far?
The Affordable Care Act provided a platform to test and bolster innovative care delivery models, like accountable care organizations and patient-centered medical homes. But more than four years after its passage, there is little evidence that such models are delivering on their promises and some experts say the effects are far from clear.
Organizations working to enroll consumers in coverage through the Affordable Care Act’s health insurance exchanges faced a number of challenges, including low consumer health literacy and technical glitches. As HHS reviews the next batch of grant recipients, there are still some questions about the role of navigators and how crucial they are to enrollment.