Health Care Delivery Systems for Diabetes

Betty Fesseha, M.D., MPH, Lipika Samal, M.D.


  • The Patient Protection and Affordable Care Act (ACA) is a health care reform law that was passed in 2010 with the hopes of expanding insurance coverage for several eligible Americans who previously lacked health insurance.
    • Since passage, the law has provided health insurance coverage to 20 million new Americans.
  • The act also contains several sections which can potentially impact the care of patients with diabetes as listed below; however, the actual impact the law has had on patients and providers is still being determined.
  • However of note, in 2017, the U.S. Senate has proposed multiple budget measures that set the stage to repeal parts of the ACA that are currently under consideration[1].
    • This is partly because of the increased cost.

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Last updated: September 4, 2017