This article explains governors’ decisions to support or oppose Medicaid expansions offered under the 2010 Patient Protection and Affordable Care Act. We theorize that governors’ decisions to oppose the funding should depend on both political demands and the level of need in the state, though politics and need are often in tension. We find that governors’ partisanship and the composition of the...

This paper looks how health systems can go beyond clinical care to address the social determinants of health and considers why this approach might be particularly relevant for Accountable Care Organizations (ACOs) touted by the Affordable Care Act. ACOs make profits by reducing the medical expenses of patient populations. The leading causes of death in the United States are tobacco use, insuffi...

The Affordable Care Act's core achievement is to make all Americans insurable, by requiring insurers to accept all applicants at rates based on population averages regardless of health status. The act also increases coverage by allowing states to expand Medicaid (the social healthcare program for families and people with low income and resources) to cover everyone near the poverty line, and by ...

New York City (NYC) has experienced various changes in hospital providers over the last several years. In addition, the federal Patient Protection and Affordable Care Act of 2010 (“Obamacare”) has led to changes in the numbers of people without health insurance. This presentation will discuss related aspects of two qualitative research projects on provision of safety-net hospital services – one...

The impact of healthcare reform under the Affordable Care Act (ACA) on individuals living in cities has not yet been quantified by local Departments of Health. This makes it difficult for safety net sources of healthcare, such as free clinics, to plan for the future. Therefore, members of Clinica Esperanza/Hope Clinic conducted a survey in predominantly Latino communities of South and West Prov...

Amid the political banter that continues to surround the Patient Protection and Affordable Care Act, or Obamacare, 32 accountable care organizations (ACOs) participating in CMS’s Pioneer ACO Model dove in headfirst to see if this new model for aggregating, coordinating, and financing health care accomplishes the stated goals of the Institute for Healthcare Improvement’s Triple Aim Initiative [1...