25 Mar ACA 10th Anniversary: How It Shaped the Health Insurance Industry

With the COVID-19 pandemic dominating the news cycle, there is one piece of news that may be overlooked – the 10^th anniversary of the Affordable Care Act (ACA).

For health payers, the landmark healthcare law’s central focus was to broaden access to coverage, while also significantly accelerating a transition to alternative payment models (APMs). This also included a new focus on value and reforms to ensure health plans cover certain benefits.

Matt Eyles, CEO of America’s Health Insurance Plans (AHIP), recently spoke with Fierce Healthcare about the 10^th anniversary of the ACA.

“It really is a dramatically different industry today, not only in terms of how consumer-focused it is but also, I think, in terms of how our members think about integrating care across the entire continuum,” said Eyles. “The ACA has been a big part of the evolution in terms of how the industry thinks and operates.”

The article goes onto highlight how the law provided a dramatic expansion of coverage, the launch of the medical loss ratio, and the overall move from fee-for-service care to a more value-based approach.

In terms of the future of the ACA, Eyles pointed to the increasing use of technology, and how health plans will continue to use digital tools to inform members, offer virtual visits and other care and back up wellness initiatives.

With regards to innovation, IMAT Solutions helps payers to addresses business-critical needs through health data aggregation, which include:

• Reducing the time and complexity of connecting to data sources.
• Improving STARS and RAPS reporting by providing 100% actionable data from any source.
• Certified Standard Supplemental Data.
• Identification and Optimization of Risk Adjustment Opportunities.
• Validated data in any format for HEDIS® Reporting.
• Support for audits and real-time Primary Source Validation.

 
To learn more about IMAT’s technology and services that enhance the collection, aggregation, analysis, reporting and auditing of clinical claims and member data for payers, please click here.