title: Implementing the Affordable Care Act: state action on quality improvement in state-based marketplaces.
abstract: Under the Affordable Care Act, the health insurance marketplaces can encourage improvements in health care quality by: allowing consumers to compare plans based on quality and value, setting common quality improvement requirements for qualified health plans, and collecting quality and cost data to inform improvements. This issue brief reviews actions taken by state-based marketplaces to improve health care quality in three areas: 1) using selective contracting to drive quality and delivery system reforms; 2) informing consumers about plan quality; and 3) collecting data to inform quality improvement. Thirteen state-based marketplaces took action to promote quality improvement and delivery system reforms through their marketplaces in 2014. Although technical and operational challenges remain, marketplaces have the potential to drive systemwide changes in health care delivery.
authors.affiliation: Center on Health Insurance Reforms, Georgetown University Health Policy Institute, and Alliance for Health Reform.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Dash
authors.forename: Sabrina
authors.initials: S
authors.lastname: Corlette
authors.forename: Amy
authors.initials: A
authors.lastname: Thomas
mesh_terms: D003284:Contract Services; D003625:Data Collection; D003695:Delivery of Health Care; D004465:Economic Competition / Q000331:legislation & jurisprudence*; D018166:Health Care Reform / Q000331:legislation & jurisprudence*; D062265:Health Insurance Exchanges / Q000331:legislation & jurisprudence*; D006801:Humans; D007255:Information Services; D058991:Patient Protection and Affordable Care Act; D058996:Quality Improvement / Q000331:legislation & jurisprudence*; D013219:State Government; D014481:United States