The recent national election has clouded the outlook for the health care industry that accounts for one-sixth of the U.S. economy. The fate of the Affordable Care Act (ACA or "Obamacare") hangs in the balance, and the stakes are enormous-not only for the more than 20 million Americans who gained insurance through the ACA, but for the health professionals who provide services for them, the insurers that cover those lives and the elected officials who have pledged to "repeal and replace" the law.
Beneath this high-profile political drama, though, beats the quiet, steady pulse of a reform movement that seeks to improve health care for all Americans.
For the past 12 years, I've been privileged to work with people who have devoted their careers to improving the quality of health care for those with Medicare and Medicaid benefits, and by extension, for all citizens. Much of our work with community partners—providers, health plans, public health agencies, consumers and others—has been guided by an activist federal program that has devoted significant resources to the reform of health care delivery, and more recently to payment reform.