How Are Hospitals Faring Under the Affordable Care Act? Early Experiences from Ascension Health

Issue Brief
  1. Cunningham P, Felland L.  Environmental Scan to Identify the Major Research Questions and Metrics for Monitoring the Effects of the Affordable Care Act on Safety Net Hospitals.  Department of Health and Human Services, Assistant Secretary for Planning and Evaluation.  June, 2013.   http://aspe.hhs.gov/health/reports/2013/SafetyNetEnvScan/rpt_ACA_and_Safety_Net_%20EnvScan.pdf.

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  2.   Medicare Access and CHIP Reauthorization Act of 2015, H.R. 2, 114th Cong. (2015).

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  3. Long SK, Karpman M, Shartzer A, Wissoker D, Kenney GM, Zuckerman S, Anderson N, Hempstead K.   Taking stock: Health insurance coverage under the ACA as of September, 2014.   Washington, D.C., The Urban Institute, December 3, 2014.   http://hrms.urban.org/briefs/Health-Insurance-Coverage-under-the-ACA-as-of-September-2014.html.

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  4. Ascension Health Mission Statement.   http://www.ascensionhealth.org/index.php?option=com_content&view=article&id=41&Itemid=147

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  5. Felland LE, Ginsburg PB, Kishbauch G.  Improving health care access for low-income people:  Lessons from Ascension Health’s Community Collaboratives.  Health Affairs, 30, no. 7 (2011): 1290-1298.

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  6. Ascension Health.  2014 Financial and Statistical Report.   http://ascension.org/yearinreview/pdf/Annual%20Report%202014_financials.pdf.

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  7. Smith V, Gifford K, Ellis E, Rudowitz R, Snyder L.  Medicaid in an Era of Health & Delivery System Reform: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2014 and 2015. (Washington, DC: The Kaiser Commission on Medicaid and the Uninsured), October 2014. https://www.kff.org/medicaid/report/medicaid-in-an-era-of-health-delivery-system-reform-results-from-a-50-state-medicaid-budget-survey-for-state-fiscal-years-2014-and-2015/.

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  8. Bazzoli GJ, Clement JP.  The experiences of Massachusetts hospitals as statewide health insurance reform was implemented.   Journal of Health Care for the Poor and Underserved, 25 (2014): 63-78.

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  9. Cole ES, Walker D, Mora A, Diana ML.  Identifying hospitals that may be at most financial risk from Medicaid Disproportionate-Share Hospital payment cuts, Health Affairs, 33, no. 11 (2014): 2025-2033.

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  10. Dignity Health.   Unaudited Quarterly Report:  For the Quarterly Period Ended September 30, 2014.    http://www.dignityhealth.org/stellent/groups/public/@xinternet_con_sys/documents/webcontent/dv045999.pdf

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  11. Providence Health & Services.  Consolidated Financial Performance, September 2014.  http://www2.providence.org/phs/Documents/financials/September%202014%20PHS%20Interim%20Financial%20Statements.pdf

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  12. UnityPoint Health.  Consolidated Financial Statements, March 31, 2014.   http://www.unitypoint.org/filesimages/Financial%20Section/Q1%202014%20Disclosure%20FINAL.pdf

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