Healthcare Reform The United States is going through an unprecedented transformation in how health care is reimbursed and delivered to Medicare, Medicaid, and Childrenâ€™s Health Insurance Program (CHIP) beneficiaries. Since the passage of the 2009 American Recovery and Reinvestment Act (ARRA) and the 2010 Patient Protection and Affordable Care Act (â€œObamacareâ€?), governmental payors have been piloting and rolling out numerous programs to encourage better care for individuals, better health for populations, and lower costs. (Source: Center for Medicare and Medicaid Services Three-Part Aim.) The NewYork-Presbyterian Division of Community and Population Health has been the primary department responsible for participating in and responding to these policy reforms. The following are three examples of delivery and reimbursement system changes that the Division in participating in: Medicare Shared Savings Program/Accountable Care Organization (ACO): As part of the Affordable Care Act, Medicare made it possible for groups of unrelated providers to form ACOs. These new organizations will be assigned responsibility for improving the quality of care and reducing the total cost of care delivered to a specific population of Medicare beneficiaries. Beneficiaries are assigned to ACOs based on their historic relationships with primary care and other outpatient providers. ACOs that show demonstrable improvements in 33 quality measures are eligible to partake in shared savings achieved through the program. The federal government also relieves certain non-competitive and compensation regulations that are required for disparate providers to work together more easily.