The Affordable Care Act Special Collection was actively curated from 2010 until 2018. A bibliography .csv file detailing the contents of the collection is available to download (see “Explore” menu). Titles continue to be accessible, but the collection is no longer actively curated.

Archived date: August 29, 2022

Collection title: Affordable Care Act Special Collection

Collection URL:

Availability: 2010-2018

Title count: 274 titles

Creator: IssueLab, a service of Candid.

Description: The passage of the Affordable Care Act represents an historic change in the way health insurance has been handled in the United States. With political discourse about the act continuing to occupy public policy debates and the news media, this collection attempts to shed light on the impact of the policy on citizens and providers as well as examine how the ACA is affecting quality, access, and costs of care.

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Higher Readmissions at Safety-Net Hospitals and Potential Policy Solutions

December 1, 2012

The Hospital Readmissions Reduction Program (HRRP), established by the Affordable Care Act, ties a hospital's payments to its readmission rates -- with penalties for hospitals that exceed a national benchmark -- to encourage hospitals to reduce avoidable readmissions. This new Commonwealth Fund analysis uses publicly reported 30-day hospital readmission rate data to examine whether safety-net hospitals are more likely to have higher readmission rates, compared with other hospitals. Results of this analysis find that safety-net hospitals are 30 percent more likely to have 30-day hospital readmission rates above the national average, compared with non-safety-net hospitals, and will therefore be disproportionately impacted by the HRRP. Policy solutions to help safety-net hospitals reduce their readmission rates include targeting quality improvement initiatives for safety-net hospitals; ensuring that broader delivery system improvements include safety-net hospitals and care delivery systems; and enhancing bundled payment rates to account for socioeconomic risk factors.

Improving Quality of Care

Health Care Opinion Leaders' Views on Vulnerable Populations in the U.S. Health System

August 8, 2011

Presents survey responses from healthcare experts about the equity of the health system; healthcare reform's potential effects on safety-net institutions, access, and financial protection; and strategies for improving quality of care.

Implications for Medicaid/Medicare; Making the Transition; The Uninsured

Driving Value in Medicaid Primary Care: The Role of Shared Support Networks for Physician Practices

March 17, 2011

Examines the challenges of transforming small primary care practices under healthcare reform and options for Medicaid to drive changes through practice supports to help implement and sustain new models of care or catalyze investments in new systems.

Implications for Medicaid/Medicare