An Enterprise Risk Management View of
Health Care Reform 

With the signing of the Patient Protection and Affordable Care Act (PPACA) on March 23, 2010, health care in the United States is transitioning to a new era. Throughout the legislative process, various stakeholders have expressed a myriad of opinions about the reform’s short- and long-term implications for health care providers.

Many of the Act’s most significant provisions with respect to the health care industry will not become effective until 2014. Before then, two national elections will have taken place and may have an impact on what elements of the reform package ultimately are implemented. Meanwhile, some states’ attorneys general have mounted legal challenges to the legislation.

The delay in the Act’s implementation, challenges to the legislation, and needed clarification leaves providers uncertain about where they should focus their efforts today that will lead them on a path to compliance with the Act. This paper attempts to summarize some of the issues anticipated for health care providers when viewed from an enterprise risk management (ERM) approach and speaks to areas where focus today can have a future positive impact.

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