Health System Transformation

Health Information and Public Health
Resources on law and policy related to health information and public health

Medicaid Service Delivery: Federally Qualified Health Centers [PDF – 382KB]
Summarizes the role of Federally Qualified Health Centers in the delivery of healthcare services for the expanding Medicaid population

• Federally Qualified Health Centers Presentation [PDF – 319KB]
• Research Anthology for Federally Qualified Health Centers [PDF – 272KB]

Tribal Epidemiology Centers Designated as Public Health Authorities [PDF 500KB]
Provides an overview of tribal epidemiology centers and the recent amendment to the Indian Health Care Improvement Act (permanently reauthorized by the Affordable Care Act), which designated these centers as public health authorities. The issue brief further outlines the impact of this designation under HIPAA.

The Affordable Care Act & American Indian and Alaska Native Communities: Selected Readings and Resources [PDF 229KB]
A list of readings and resources that describe the Affordable Care Act and the Indian Health Care Improvement Act’s impact on American Indian and Alaska Native communities. The list includes summaries of the laws, scholarly articles, and resources on enrollment and exemptions.

Health Department Billing for Immunization Services: A Menu of Suggested Provisions [PDF – 389KB]
A menu of state law provisions that impact the health department’s authority to bill third parties for services provided. The menu was created by CDC’s Public Health Law Program in cooperation with the National Center for Immunization and Respiratory Diseases.

Accountable Care: Basic Principles and Related Law [PDF – 357KB]
Describes accountable care frameworks and the legal provisions that support them. These resources can help practitioners understand how accountable care might impact public health and engage with accountable care entities in their jurisdictions.

• Legal Mechanisms Supporting Accountable Care Principles [PDF – 266KB]
  Provides the legal context for accountable care, the healthcare delivery mechanism through which providers, facilities, and public health professionals coordinate activities, avoid inefficiencies, and improve public health outcomes. Published in the American Journal for Public Health 2014;104(11):2048–51. This copy was reformatted to include full legal citations in the footnotes.
• Accountable Care Presentation [PDF – 148KB]
• Research Anthology for Accountable Care [PDF – 295KB]

Hospital Presumptive Eligibility Issue Brief [PDF – 304KB]
Summarizes Medicaid hospital presumptive eligibility (HPE) program to help practitioners understand state HPE implementation options and how hospitals can expand presumptive eligibility to new populations.

• Hospital Presumptive Eligibility: Overview Presentation [PDF 3.64MB]
• Research Anthology for Hospital Presumptive Eligibility [PDF – 244KB]

Menu of State Public Health Department Accreditation Laws [PDF – 287KB]
An inventory of state laws that reference accreditation and examples of the methods in which states have required, encouraged, or financed public health department accreditation through statutes or regulations.

Public Health Law and Policy Innovations: Social Impact Bonds [PDF – 357KB]
A descriptive overview of social impact bonds, new financing mechanisms used to attract private investment for public health initiatives. These resources can help public health practitioners responsible for financing and funding, as well as groups and organizations with the responsibility to inform state and local governing bodies regarding public health programing and initiatives.

• Federal Participation in Innovative Public Health Financing: The Social Impact Bond Act (HR 4885) and the Pay for Performance Act (S.2691) [PDF – 292KB]
• Social Impact Bonds Presentation [PDF – 148KB]
• Research Anthology for Social Impact Bonds [PDF – 284KB]

Selected Issues regarding ERISA, Health Benefit Plans, and State Laws that Address Health System Transformation [PDF – 272KB]
Summary of responses to technical assistance requests PHLP received regarding the Employee Retirement Income Security Act of 1974 (ERISA) and its relationship to health benefit plans and state laws that address health system transformation

Summary of the Internal Revenue Service’s April 5, 2013, Notice of Proposed Rulemaking on Community Health Needs Assessments for Charitable Hospitals [PDF – 188KB]
Summarizes proposed regulations that provided guidance to charitable hospital organizations on the 501(r) Community Health Needs Assessment requirements and related excise tax and reporting requirements

 

Disclaimer: Information available on this website that was not developed by the Centers for Disease Control and Prevention (CDC) does not necessarily represent any CDC policy, position, or endorsement of that information or of its sources. The information contained on this website is not legal advice; if you have questions about a specific law or its application you should consult your legal counsel.