Just two hours after the Supreme Court decision, the emergency room at Genesis East is a busy place. That's where the Affordable Care Act remains in action.
"Removing the uncertainty is a good thing," said Doug Cropper, president and CEO of Genesis Health System.
Providers like Genesis say that Quad City patients will have better access to health care. That's a starting point to a healthier community.
"The mandate stands with the government's ability to tax, and also, the law stands," Cropper said.
That means business as usual in the emergency room. Patients with chronic conditions will have coverage. More patients will get preventive care like screenings, tests and immunizations.
"The business model and the mission are going to be aligned to really work together to improve the quality of health care of those served," Cropper said.
The Supreme Court ruling won't be a cure-all. There are lingering issues over rates and reimbursements for Medicare and Medicaid. Iowa and Illinois rank near the bottom for payments.
Hospitals were ready for the ruling but holding back before the outcome. They're just starting to process where to go from here.
The Affordable Care Act is allowing Genesis to enter a new coalition called the University of Iowa Health Alliance. It's designed to help hospitals get more bang for the buck when it comes to business practices and patient services.
"You've got to address both access as well as cost, quality and experience issues. That's our commitment moving forward," Cropper said.
At Genesis, they'll be moving forward with a decision they call both interesting and unexpected.