Louisville Medicine Volume 61, Issue 10 | Page 10

Louisville Begins Implementation of the Affordable Care Act LaQuandra Nesbitt, MD, MPH O n October 1, 2013 enrollment began under the Affordable Care Act. While much media attention has been paid to the problem-plagued rollout of the federal health exchange Healthcare.gov and the significantly more successful start up of the state health exchange kynect. ky.gov, the fact remains that a successful implementation of the Affordable Care Act in our region will heavily depend on local efforts here in Louisville. Here in Louisville there are more than 101,000 uninsured. An estimated 54,000 are eligible to be enrolled in private Qualified Health Plans and 47,000 are eligible to be insured under expanded Medicaid coverage. We need to do all we can to enroll as many of our fellow citizens as possible, but we must also reach out to the newly insured to help them find a medical home and to educate them on the appropriate use of the healthcare system. More than 100,000 potential new patients will also impact the ability of the local system to deliver care. We must ensure that our medical workforce has adequate capacity. The Louisville Metro Board of Health has convened a steering committee, chaired by Mr. William “Bill” Altman, JD, comprised of stakeholders involved in health care delivery in Louisville. This is a very inclusive wide-ranging team consisting of all area hospitals/heal