“This book presents the context, challenges, and opportunities for ACA in a concise, readable manner.” (Carole A. Kenner, Doody's Book Reviews, October 1, 2021)
Preface
Chapter 1: Introduction: An Overview of the ACA as a National Experiment
Chapter 2: A Decade of ACA: The Successes, Unfinished Work, and Impact of the Affordable Care Act
Chapter 3: Patient Protections in the Affordable Care Act
Chapter 4: Beyond Coverage and Controversy: The ACA’s Distinctly American Approach to Healthcare Coverage and Reform
Chapter 5: Medicaid Expansion and Insurance Reform Under the Affordable Care Act: The New New Federalism of Health Policy or the Same Old Same Old?
Chapter 6: Policies Designed to Achieve a Data-Driven Learning Healthcare System: A Decade of Progress and Future Directions
Chapter 7: The Healthcare Message Wars
Chapter 8: The Role of the Supreme Court in Shaping the Affordable Care Act
Chapter 9: The Center for Medicare and Medicaid Innovation – A Decade of Experimentation and Continued Evolution
Chapter 10: Social Determinants: Working Upstream to Solve Health Problems Before They Start
Chapter 11: Stories of the Uninsured
Chapter 12: Can Fifty-One Laboratories Cure What Ails the Individual Health Insurance Markets?
Chapter 13: What’s Next: The Push For Universal Healthcare
Epilogue
The editor of the original edition and this second edition, Harry P. Selker, MD, MSPH, is the author of approximately 200 academic journal articles about health policy, cardiac and clinical and translational research, comparative effectiveness research, and of Emergency Diagnostic Tests for Cardiac Ischemia (Wiley-Blackwell, 1997). He is Dean of Tufts Clinical and Translational Science Institute (CTSI) and Principal Investigator for the NIH Clinical and Translational Science Award (CTSA) that supports it; Professor of Medicine at the Tufts University School of Medicine; and Executive Director for the Institute for Clinical Research and Health Policy Studies at Tufts Medical Center, where he is also Chief of the Division of Clinical Care Research in the Department of Medicine and Director of its Center for Cardiovascular Health Services Research.
The landmark 2010 Patient Protection and Affordable Care Act (ACA), “Obamacare,” was the largest healthcare policy innovation in the United States in 50 years, and it has generated strong opinions and debate across public, political, and policy arenas.
Examining the innovation of the ACA as a health policy experiment, The Affordable Care Act as a National Experiment was published bySpringer in 2014. Now, six years later, following an election year in which the ACA remained hotly debated, this second edition further examines the history, lessons, and impact of this ground-breaking legislation.
Written by national healthcare policy leaders involved in the ACA’s creation and implementation, this book addresses questions around patient protection under the ACA, delves into Medicaid expansion and insurance reform, assesses the Supreme Court review of the ACA, and sheds light on the related social determinants of health. It also provides informative stories of the uninsured. It discusses the stabilization of the ACA, and concludes with a summary of potential next steps and the push for universal healthcare.
This second edition further underscores that to improve access to medical care and the public’s health, we must innovate – and to innovate is to experiment. It makes clear that the ACA is a “translational medical research” experiment – an experiment aimed at translating best medical knowledge into improvements in health. And it shows that, like any medical experiment, its results will point to needed next steps.
We hope this text becomes an essential resource for healthcare providers, policy makers, and academics.