Issue Briefs

AHA's Issue briefs frame the issue of affordability and can be used by hospitals and health systems to initiate conversations with stakeholders in their communities.

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Framing the Issue of Affordable Health Care

Affordability is one of the most important challenges influencing Americans’ ability to access health care. A number of factors affect the affordability of health care, including housing, transportation, education, personal choices, and the cost of health insurance, prescription drugs, and hospital services. Leaders from the American Hospital Association, hospitals, and health systems understand these challenges, have strategies to address them, and are deeply committed to ensuring that patients and consumers have access to affordable health care.

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What Does Value Mean?

There has been significant interest in and discussion around what value in health care delivery means. Yet, despite an increasing focus on value, there is no agreed-upon definition or expectation across the health care field. Perspectives vary widely, are at times inconsistent and, in many instances, do not align amongst various stakeholders involved with the delivery of health care. In this issue brief, we identify various definitions of value, explain why it is so difficult to define, and share how the AHA intends to address the value equation.

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Connecting the Dots: Value and Health Equity

How are value and health equity connected? The best way to examine the connection between health equity and value is to start by understanding health equity. Health equity is achieved by providing care that does not vary in quality by personal characteristics such as gender, ethnicity, geographic location and socioeconomic status. Therefore, achieving health equity requires a concerted effort to increase opportunities to be healthier for everyone, including those for whom obstacles are the greatest. Research has shown that improvements in health equity can provide tremendous value to patients, hospitals and the health care delivery system. And, hospitals and health systems are employing a number of approaches to improve health equity and promote value.

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How Rural Hospitals Improve Value and Affordability

Rural hospitals are a crucial local access point for urgent medical services, primary care and prevention in their communities. Despite multi-faceted and complex challenges, rural hospitals continue to transform and adapt to meet the needs of their populations. This Issue Brief highlights four strategies rural hospitals are using to improve value by reducing cost, improving quality or enhancing the patient experience.

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