Access & Health Coverage

Every day the caregivers in America’s hospitals see how not having coverage stops people from getting the right care, at the right time, in the right place.

That’s why hospitals are helping people get health coverage and ensuring access to essential services.

Medicaid

Medicaid is the nation’s largest single source of coverage primarily serving low-income populations – children and their families, adults, seniors and disabled individuals. The program provides a broad array of health care services such as primary and acute care services, as well as lon...

Marketplace Issues/Stability

The Health Insurance Marketplaces have become a major source of health care coverage, and millions of low-income individuals rely on the marketplaces to access subsidies to lower the cost of their premiums and cost-sharing. However, the marketplaces in some regions have struggled to sta...

Access to Care in Vulnerable Communities

For millions of Americans living in vulnerable rural and urban communities, their hospital is often the only source of care. However, many of these hospitals are fighting to survive – potentially leaving their communities at risk for losing access to health care services. The AHA'...

Behavioral Health

One in four Americans experiences a mental illness or substance use disorder each year, and the majority also has a comorbid physical health condition. Hospitals and health systems provide essential behavioral health care services to millions of Americans every day. The American Hos...

Essential Health Benefit Issues

The Affordable Care Act mandated that health insurance plans sold on the individual and small group markets must cover 10 essential health benefits: Ambulatory patient services (outpatient care) Emergency services. Hospitalization (inpatient care) Maternity and newborn care Menta...

Drug Prices

Unchecked drug price increases are not sustainable, and are a serious economic threat to the patients and communities we serve. They not only threaten patient access to drug therapies, but challenge providers’ abilities to provide the highest quality of care. Did you know? In 2015, ...

Providers with Health Plans

Some provider-owned health plans cover just one market segment (e.g., Medicaid managed care) and other plans offer a full portfolio of products for the public and commercial sectors. There are increasing examples of health care systems and hospitals partnering with provider and commerci...

Related Resources

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Press Releases
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Tom Nickels Executive Vice President American Hospital Association
Bibliography/Link Page
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Newsletter from December 2018 highlighting AHA resources, advocacy updates, and more regarding behavioral health.
Special Bulletin
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Special Bulletin on CMS’s Nov. 26 proposed rule aimed at lowering drug prices for beneficiaries enrolled in Medicare Advantage and Part D programs.
Letter
The AHA urges the Health Resources and Services Administration to meet the Jan. 1 effective date it has proposed for its final rule on drug ceiling prices and…
Special Bulletin
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The CMS, Nov. 8 released a proposed rule that would make changes to the Medicaid and Children's Health Insurance Program (CHIP) managed care regulations and,…