SlideShare a Scribd company logo
1 of 1
Download to read offline
Health Care
Reform in
Pre-election,
80%of companies
were waiting to see what
happened with the ACA before
making any moves.*
Over 50%of companies say the process
of managing ACA compliance will become
more complex over the next two years.
Less than 50% of
companies feel well
prepared to manage
most aspects of ACA
compliance.
Employers will continue to face issues from managing Marketplace
Notices to facing government action for non-compliance
Companies report a variety of challenges with Marketplace Notices:
More than 60% are
not sure if
they’ve received
a Marketplace
Notice.
Midsized companies
report that information
provided by
employees is
inaccurate.
Large companies
did not have enough
information to
identify employees,
and they experience
time delays.
?
Over 50%think that they are
currently at risk of violating at least one
aspect of annual health care reporting
Bottom line: All ACA requirements
and potential penalties related to
the employer mandate and
reporting rules remain in effect for
this year and beyond.
Stay informed with insights and guidance at:
ADP and the ADP logo are registered trademarks of ADP, LLC. ADP – A more human
resource is a service mark of ADP, LLC. Copyright © 2017 ADP, LLC. ALL RIGHTS
*Source: 2016 ADP ACA Confidence Study
Or call:
While the ACA is in place for now, changes may come around the corner at any time, and they
could be complex. Choose a partner that will ultimately help your organization stay ahead of
Health Care Reform compliance requirements.
Today
2017
855-667-4621!
!
360peo.com/healthcare-reform-resource/
-reform-resource/
2018

More Related Content

What's hot

Could Medical Hospitality Save the Employer Health Market
Could Medical Hospitality Save the Employer Health MarketCould Medical Hospitality Save the Employer Health Market
Could Medical Hospitality Save the Employer Health Market
Dan Heffley
 
HC-CA Infographic REV_05
HC-CA Infographic REV_05HC-CA Infographic REV_05
HC-CA Infographic REV_05
Randy Richey
 
Fraud Analytics- Healthcare
Fraud Analytics- HealthcareFraud Analytics- Healthcare
Fraud Analytics- Healthcare
Kurt Krueger
 
HIPAA: Week 1 Discussion 2
HIPAA: Week 1 Discussion 2HIPAA: Week 1 Discussion 2
HIPAA: Week 1 Discussion 2
Kelly Castle
 

What's hot (20)

The Post-ACA Era and Preparing for the Unknown
The Post-ACA Era and Preparing for the UnknownThe Post-ACA Era and Preparing for the Unknown
The Post-ACA Era and Preparing for the Unknown
 
Extreme Makeover
Extreme MakeoverExtreme Makeover
Extreme Makeover
 
CSFA medical billing[684]
CSFA  medical billing[684]CSFA  medical billing[684]
CSFA medical billing[684]
 
Could Medical Hospitality Save the Employer Health Market
Could Medical Hospitality Save the Employer Health MarketCould Medical Hospitality Save the Employer Health Market
Could Medical Hospitality Save the Employer Health Market
 
The State of Legal Hiring: July-December 2019
The State of Legal Hiring: July-December 2019The State of Legal Hiring: July-December 2019
The State of Legal Hiring: July-December 2019
 
Federal Registry Cites For New Requirements Of Hipaa Regarding Business Assoc...
Federal Registry Cites For New Requirements Of Hipaa Regarding Business Assoc...Federal Registry Cites For New Requirements Of Hipaa Regarding Business Assoc...
Federal Registry Cites For New Requirements Of Hipaa Regarding Business Assoc...
 
Alternative Free Arrangements: The Facts Behind the Buzz
Alternative Free Arrangements: The Facts Behind the BuzzAlternative Free Arrangements: The Facts Behind the Buzz
Alternative Free Arrangements: The Facts Behind the Buzz
 
Health Insurance Advice for Mid-Sized Employers
Health Insurance Advice for Mid-Sized EmployersHealth Insurance Advice for Mid-Sized Employers
Health Insurance Advice for Mid-Sized Employers
 
Overview
OverviewOverview
Overview
 
HC-CA Infographic REV_05
HC-CA Infographic REV_05HC-CA Infographic REV_05
HC-CA Infographic REV_05
 
Employee Benefits ROI: Driving Results Year-Round
Employee Benefits ROI: Driving Results Year-RoundEmployee Benefits ROI: Driving Results Year-Round
Employee Benefits ROI: Driving Results Year-Round
 
Medical Billing Software Trends
Medical Billing Software TrendsMedical Billing Software Trends
Medical Billing Software Trends
 
Importance Of RPA in Healthcare Industry
Importance Of RPA in Healthcare IndustryImportance Of RPA in Healthcare Industry
Importance Of RPA in Healthcare Industry
 
AAN Seniors National Health Care Survey - February 2014
AAN Seniors National Health Care Survey - February 2014AAN Seniors National Health Care Survey - February 2014
AAN Seniors National Health Care Survey - February 2014
 
Billing and Reimbursement for Surgical Assistants - How to start
Billing and Reimbursement for Surgical Assistants - How to startBilling and Reimbursement for Surgical Assistants - How to start
Billing and Reimbursement for Surgical Assistants - How to start
 
Physician E/M Coding: The OIG and RACs
Physician E/M Coding: The OIG and RACsPhysician E/M Coding: The OIG and RACs
Physician E/M Coding: The OIG and RACs
 
Legal aspects of disaster nursing.
Legal aspects of disaster nursing.Legal aspects of disaster nursing.
Legal aspects of disaster nursing.
 
Fraud Analytics- Healthcare
Fraud Analytics- HealthcareFraud Analytics- Healthcare
Fraud Analytics- Healthcare
 
HIPAA: Week 1 Discussion 2
HIPAA: Week 1 Discussion 2HIPAA: Week 1 Discussion 2
HIPAA: Week 1 Discussion 2
 
Hipaa final enforcement rule
Hipaa final enforcement ruleHipaa final enforcement rule
Hipaa final enforcement rule
 

Similar to Infographic 360 peo ACA Remains Law of the Land

Midsized Business Owner Study 2014
Midsized Business Owner Study 2014Midsized Business Owner Study 2014
Midsized Business Owner Study 2014
Sabina Abasov
 
CIT Healthcare Industry Outlook
CIT Healthcare Industry OutlookCIT Healthcare Industry Outlook
CIT Healthcare Industry Outlook
CIT Group
 
ACA Compliance A Blueprint for Employers White Paper - Oct '14
ACA Compliance A Blueprint for Employers White Paper - Oct '14ACA Compliance A Blueprint for Employers White Paper - Oct '14
ACA Compliance A Blueprint for Employers White Paper - Oct '14
ADP Payroll/HR Nick Tagliavia
 
ACA Compliance A Blueprint for Employers White Paper - Oct '14
ACA Compliance A Blueprint for Employers White Paper - Oct '14ACA Compliance A Blueprint for Employers White Paper - Oct '14
ACA Compliance A Blueprint for Employers White Paper - Oct '14
Christopher Menendez
 
Axxess White Paper v5 - High
Axxess White Paper v5 - HighAxxess White Paper v5 - High
Axxess White Paper v5 - High
Lisa Dawson
 

Similar to Infographic 360 peo ACA Remains Law of the Land (20)

Compliance: Reducing Risk Efficiently & Effectively
Compliance: Reducing Risk Efficiently & EffectivelyCompliance: Reducing Risk Efficiently & Effectively
Compliance: Reducing Risk Efficiently & Effectively
 
EBN Feb 2016 The ABCs of Employee Benefits
EBN Feb 2016 The ABCs of Employee BenefitsEBN Feb 2016 The ABCs of Employee Benefits
EBN Feb 2016 The ABCs of Employee Benefits
 
AI in Healthcare Readiness Report 2019
AI in Healthcare Readiness Report 2019AI in Healthcare Readiness Report 2019
AI in Healthcare Readiness Report 2019
 
Midsized Business Owner Study 2014
Midsized Business Owner Study 2014Midsized Business Owner Study 2014
Midsized Business Owner Study 2014
 
U S Supreme Court Upholds The Affordable Care Act1
U S  Supreme Court Upholds The Affordable Care Act1U S  Supreme Court Upholds The Affordable Care Act1
U S Supreme Court Upholds The Affordable Care Act1
 
CIT Healthcare Industry Outlook
CIT Healthcare Industry OutlookCIT Healthcare Industry Outlook
CIT Healthcare Industry Outlook
 
ACA Compliance A Blueprint for Employers White Paper - Oct '14
ACA Compliance A Blueprint for Employers White Paper - Oct '14ACA Compliance A Blueprint for Employers White Paper - Oct '14
ACA Compliance A Blueprint for Employers White Paper - Oct '14
 
ACA Compliance A Blueprint for Employers White Paper - Oct '14
ACA Compliance A Blueprint for Employers White Paper - Oct '14ACA Compliance A Blueprint for Employers White Paper - Oct '14
ACA Compliance A Blueprint for Employers White Paper - Oct '14
 
The 2020 industry pulse report
The 2020 industry pulse reportThe 2020 industry pulse report
The 2020 industry pulse report
 
Comments on Affordable Care Act and other healthcare issues
Comments on Affordable Care Act and other healthcare issuesComments on Affordable Care Act and other healthcare issues
Comments on Affordable Care Act and other healthcare issues
 
FLAACOs 2014 Conference - Legal Considerations in Negotiating ACO Contracts ...
FLAACOs 2014 Conference - Legal Considerations in Negotiating ACO Contracts  ...FLAACOs 2014 Conference - Legal Considerations in Negotiating ACO Contracts  ...
FLAACOs 2014 Conference - Legal Considerations in Negotiating ACO Contracts ...
 
The rise of automation in employee health benefits
The rise of automation in employee health benefitsThe rise of automation in employee health benefits
The rise of automation in employee health benefits
 
Compensation and hiring trends
Compensation and hiring trendsCompensation and hiring trends
Compensation and hiring trends
 
NAADAC Medicaid 2014
NAADAC Medicaid 2014NAADAC Medicaid 2014
NAADAC Medicaid 2014
 
Healthcare Revenue Cycle Trends to Watch in 2019
Healthcare Revenue Cycle Trends to Watch in 2019Healthcare Revenue Cycle Trends to Watch in 2019
Healthcare Revenue Cycle Trends to Watch in 2019
 
Axxess White Paper v5 - High
Axxess White Paper v5 - HighAxxess White Paper v5 - High
Axxess White Paper v5 - High
 
Small Business Tracking Study - Healthcare Detail
Small Business Tracking Study - Healthcare DetailSmall Business Tracking Study - Healthcare Detail
Small Business Tracking Study - Healthcare Detail
 
Updates to the Affordable Care Act
Updates to the Affordable Care ActUpdates to the Affordable Care Act
Updates to the Affordable Care Act
 
2015 healthcare-outlook-report
2015 healthcare-outlook-report2015 healthcare-outlook-report
2015 healthcare-outlook-report
 
Home Health Agencies: Understanding Fraud, Waste and Abuse
Home Health Agencies: Understanding Fraud, Waste and AbuseHome Health Agencies: Understanding Fraud, Waste and Abuse
Home Health Agencies: Understanding Fraud, Waste and Abuse
 

Recently uploaded

Call Girls In Indore 📞9235973566📞Just Call Inaaya📲 Call Girls Service In Indo...
Call Girls In Indore 📞9235973566📞Just Call Inaaya📲 Call Girls Service In Indo...Call Girls In Indore 📞9235973566📞Just Call Inaaya📲 Call Girls Service In Indo...
Call Girls In Indore 📞9235973566📞Just Call Inaaya📲 Call Girls Service In Indo...
Sheetaleventcompany
 
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
mahaiklolahd
 
Call Girl in Indore 8827247818 {Low Price}👉 Meghna Indore Call Girls * DXZ...
Call Girl in Indore 8827247818 {Low Price}👉   Meghna Indore Call Girls  * DXZ...Call Girl in Indore 8827247818 {Low Price}👉   Meghna Indore Call Girls  * DXZ...
Call Girl in Indore 8827247818 {Low Price}👉 Meghna Indore Call Girls * DXZ...
mahaiklolahd
 
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Sheetaleventcompany
 
vadodara Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
vadodara Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetvadodara Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
vadodara Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Call Girls Chandigarh
 
👉Bangalore Call Girl Service👉📞 7304373326 👉📞 Just📲 Call Rajveer Call Girls Se...
👉Bangalore Call Girl Service👉📞 7304373326 👉📞 Just📲 Call Rajveer Call Girls Se...👉Bangalore Call Girl Service👉📞 7304373326 👉📞 Just📲 Call Rajveer Call Girls Se...
👉Bangalore Call Girl Service👉📞 7304373326 👉📞 Just📲 Call Rajveer Call Girls Se...
Sheetaleventcompany
 
Low Rate Call Girls Pune {9xx000xx09} ❤️VVIP NISHA Call Girls in Pune Maharas...
Low Rate Call Girls Pune {9xx000xx09} ❤️VVIP NISHA Call Girls in Pune Maharas...Low Rate Call Girls Pune {9xx000xx09} ❤️VVIP NISHA Call Girls in Pune Maharas...
Low Rate Call Girls Pune {9xx000xx09} ❤️VVIP NISHA Call Girls in Pune Maharas...
Sheetaleventcompany
 
Top 20 Famous Indian Female Pornstars Name List 2024
Top 20 Famous Indian Female Pornstars Name List 2024Top 20 Famous Indian Female Pornstars Name List 2024
Top 20 Famous Indian Female Pornstars Name List 2024
Sheetaleventcompany
 
9316020077📞Majorda Beach Call Girls Numbers, Call Girls Whatsapp Numbers Ma...
9316020077📞Majorda Beach Call Girls  Numbers, Call Girls  Whatsapp Numbers Ma...9316020077📞Majorda Beach Call Girls  Numbers, Call Girls  Whatsapp Numbers Ma...
9316020077📞Majorda Beach Call Girls Numbers, Call Girls Whatsapp Numbers Ma...
Goa cutee sexy top girl
 
Kottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Kottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetKottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Kottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Call Girls Chandigarh
 

Recently uploaded (20)

Call Girls In Indore 📞9235973566📞Just Call Inaaya📲 Call Girls Service In Indo...
Call Girls In Indore 📞9235973566📞Just Call Inaaya📲 Call Girls Service In Indo...Call Girls In Indore 📞9235973566📞Just Call Inaaya📲 Call Girls Service In Indo...
Call Girls In Indore 📞9235973566📞Just Call Inaaya📲 Call Girls Service In Indo...
 
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
 
Call Girl in Indore 8827247818 {Low Price}👉 Meghna Indore Call Girls * DXZ...
Call Girl in Indore 8827247818 {Low Price}👉   Meghna Indore Call Girls  * DXZ...Call Girl in Indore 8827247818 {Low Price}👉   Meghna Indore Call Girls  * DXZ...
Call Girl in Indore 8827247818 {Low Price}👉 Meghna Indore Call Girls * DXZ...
 
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
 
vadodara Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
vadodara Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetvadodara Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
vadodara Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Sexy Call Girl Tiruvannamalai Arshi 💚9058824046💚 Tiruvannamalai Escort Service
Sexy Call Girl Tiruvannamalai Arshi 💚9058824046💚 Tiruvannamalai Escort ServiceSexy Call Girl Tiruvannamalai Arshi 💚9058824046💚 Tiruvannamalai Escort Service
Sexy Call Girl Tiruvannamalai Arshi 💚9058824046💚 Tiruvannamalai Escort Service
 
Independent Call Girls Service Chandigarh | 8868886958 | Call Girl Service Nu...
Independent Call Girls Service Chandigarh | 8868886958 | Call Girl Service Nu...Independent Call Girls Service Chandigarh | 8868886958 | Call Girl Service Nu...
Independent Call Girls Service Chandigarh | 8868886958 | Call Girl Service Nu...
 
👉Bangalore Call Girl Service👉📞 7304373326 👉📞 Just📲 Call Rajveer Call Girls Se...
👉Bangalore Call Girl Service👉📞 7304373326 👉📞 Just📲 Call Rajveer Call Girls Se...👉Bangalore Call Girl Service👉📞 7304373326 👉📞 Just📲 Call Rajveer Call Girls Se...
👉Bangalore Call Girl Service👉📞 7304373326 👉📞 Just📲 Call Rajveer Call Girls Se...
 
Sexy Call Girl Nagercoil Arshi 💚9058824046💚 Nagercoil Escort Service
Sexy Call Girl Nagercoil Arshi 💚9058824046💚 Nagercoil Escort ServiceSexy Call Girl Nagercoil Arshi 💚9058824046💚 Nagercoil Escort Service
Sexy Call Girl Nagercoil Arshi 💚9058824046💚 Nagercoil Escort Service
 
Low Rate Call Girls Pune {9xx000xx09} ❤️VVIP NISHA Call Girls in Pune Maharas...
Low Rate Call Girls Pune {9xx000xx09} ❤️VVIP NISHA Call Girls in Pune Maharas...Low Rate Call Girls Pune {9xx000xx09} ❤️VVIP NISHA Call Girls in Pune Maharas...
Low Rate Call Girls Pune {9xx000xx09} ❤️VVIP NISHA Call Girls in Pune Maharas...
 
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
 
2024 PCP #IMPerative Updates in Rheumatology
2024 PCP #IMPerative Updates in Rheumatology2024 PCP #IMPerative Updates in Rheumatology
2024 PCP #IMPerative Updates in Rheumatology
 
💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...
💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...
💞 Safe And Secure Call Girls Coimbatore 🧿 9332606886 🧿 High Class Call Girl S...
 
Top 20 Famous Indian Female Pornstars Name List 2024
Top 20 Famous Indian Female Pornstars Name List 2024Top 20 Famous Indian Female Pornstars Name List 2024
Top 20 Famous Indian Female Pornstars Name List 2024
 
9316020077📞Majorda Beach Call Girls Numbers, Call Girls Whatsapp Numbers Ma...
9316020077📞Majorda Beach Call Girls  Numbers, Call Girls  Whatsapp Numbers Ma...9316020077📞Majorda Beach Call Girls  Numbers, Call Girls  Whatsapp Numbers Ma...
9316020077📞Majorda Beach Call Girls Numbers, Call Girls Whatsapp Numbers Ma...
 
❤️Ludhiana Call Girls ☎️98157-77685☎️ Call Girl service in Ludhiana☎️Ludhiana...
❤️Ludhiana Call Girls ☎️98157-77685☎️ Call Girl service in Ludhiana☎️Ludhiana...❤️Ludhiana Call Girls ☎️98157-77685☎️ Call Girl service in Ludhiana☎️Ludhiana...
❤️Ludhiana Call Girls ☎️98157-77685☎️ Call Girl service in Ludhiana☎️Ludhiana...
 
Call Now ☎ 8868886958 || Call Girls in Chandigarh Escort Service Chandigarh
Call Now ☎ 8868886958 || Call Girls in Chandigarh Escort Service ChandigarhCall Now ☎ 8868886958 || Call Girls in Chandigarh Escort Service Chandigarh
Call Now ☎ 8868886958 || Call Girls in Chandigarh Escort Service Chandigarh
 
Sexy Call Girl Villupuram Arshi 💚9058824046💚 Villupuram Escort Service
Sexy Call Girl Villupuram Arshi 💚9058824046💚 Villupuram Escort ServiceSexy Call Girl Villupuram Arshi 💚9058824046💚 Villupuram Escort Service
Sexy Call Girl Villupuram Arshi 💚9058824046💚 Villupuram Escort Service
 
Kottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Kottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetKottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Kottayam Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Escorts Service Ahmedabad🌹6367187148 🌹 No Need For Advance Payments
Escorts Service Ahmedabad🌹6367187148 🌹 No Need For Advance PaymentsEscorts Service Ahmedabad🌹6367187148 🌹 No Need For Advance Payments
Escorts Service Ahmedabad🌹6367187148 🌹 No Need For Advance Payments
 

Infographic 360 peo ACA Remains Law of the Land

  • 1. Health Care Reform in Pre-election, 80%of companies were waiting to see what happened with the ACA before making any moves.* Over 50%of companies say the process of managing ACA compliance will become more complex over the next two years. Less than 50% of companies feel well prepared to manage most aspects of ACA compliance. Employers will continue to face issues from managing Marketplace Notices to facing government action for non-compliance Companies report a variety of challenges with Marketplace Notices: More than 60% are not sure if they’ve received a Marketplace Notice. Midsized companies report that information provided by employees is inaccurate. Large companies did not have enough information to identify employees, and they experience time delays. ? Over 50%think that they are currently at risk of violating at least one aspect of annual health care reporting Bottom line: All ACA requirements and potential penalties related to the employer mandate and reporting rules remain in effect for this year and beyond. Stay informed with insights and guidance at: ADP and the ADP logo are registered trademarks of ADP, LLC. ADP – A more human resource is a service mark of ADP, LLC. Copyright © 2017 ADP, LLC. ALL RIGHTS *Source: 2016 ADP ACA Confidence Study Or call: While the ACA is in place for now, changes may come around the corner at any time, and they could be complex. Choose a partner that will ultimately help your organization stay ahead of Health Care Reform compliance requirements. Today 2017 855-667-4621! ! 360peo.com/healthcare-reform-resource/ -reform-resource/ 2018