Systems gear up for new demands.

art of the Affordable Care Act (ACA) calls for the expansion of Medicaid in 2014, which is expected to cover about 17 million previously uninsured Americans. The Supreme Court’s recent ruling that the federal government cannot force states to expand their Medicaid programs complicates the issue, making it more difficult for health care systems operating in several states to develop efficient strategies for delivering care to a population that is central to Catholic health care’s mission. Further, although more people will be covered under Medicaid, reimbursements are unlikely to cover the cost of services. P