title: Achieving a deeper understanding of the implemented provisions of the Affordable Care Act.
abstract: The Patient Protection and Affordable Care Act (ACA) was signed into law by President Barack Obama on March 23, 2010. Since that time, numerous regulations have been promulgated, legal battles continue to be fought and the major provisions of the law are being implemented. In the following article, we outline components of the ACA that are relevant to cancer health care, review current implementation of the new health care reform law, and identify challenges that may lie ahead in the post-ACA era. Specifically, among the things we explore are Medicaid expansion, health insurance exchanges, essential health benefits and preventive services, subsidies, access to clinical trials, the Medicare Part D donut hole, and physician quality payment reform.
authors.affiliation: From the Section of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL.
authors.forename: Shuang Qin
authors.initials: SQ
authors.lastname: Zhang
authors.affiliation: From the Section of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL.
authors.forename: Blase N
authors.initials: BN
authors.lastname: Polite
mesh_terms: D003695:Delivery of Health Care / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D004608:Eligibility Determination; D033161:Government Regulation; D017048:Health Care Costs / Q000331:legislation & jurisprudence; D018166:Health Care Reform / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D005102:Health Expenditures; D062265:Health Insurance Exchanges; D006801:Humans; D019458:Insurance Coverage; D007349:Insurance, Health, Reimbursement; D008484:Medicaid; D006278:Medicare; D009369:Neoplasms / Q000175:diagnosis / Q000191:economics / Q000628:therapy*; D058991:Patient Protection and Affordable Care Act / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D011050:Policy Making; D014481:United States