Hospitals The ACA impacts hospitals in many different ways. Jackson Hewitt is here to help simplify the law and suggest some important issues to consider when thinking about federal health care reform. You look at health reform from through the lens of a health care provider, employer, and as a potential enrollment site for patients: As a healthcare provider:Many lower-income patients may still be “under insured” even if they enroll in one of the tax credit programs.Medicaid eligibility may not have gotten easier.It may go the other way. HospitalsMany lower-income patients may still be “under insured” even if they enroll in one of the tax credit programs.Medicaid eligibility may not have gotten easier.It may go the other way. As an enrollment site:Consumers (patients) may face a bewildering array of decisions and choices.Hospitals can use the forgiveness of medical debt as a powerful enrollment incentive. To learn more about how hospitals can turn nominal receivables into a guarantee that patients come back to their facilities with health insurance, check out this Jackson Hewitt report, Medical Debt as Enrollment Incentive (PDF).Dropping coverage may make employees better off: Employers may have an incentive to drop coverage — or change the employer contribution for employee and family coverage. Helpful Resources Want to get technical? Check out these expert reports from the Congressional Research Service (CRS): Report on the large employer tax penalties under the ACA. Read PDF. Report on premium assistance tax credits under the ACA. Read More Report on the individual mandate tax penalty under the ACA. Read PDF.