Regardless of what happens next in replacing coverage provisions in the Affordable Care Act, certain structural realities will continue to demand reform: unsustainable fiscal trends, rising out-of-pocket costs and levels of medical debt, suboptimal clinical outcomes, and patients and caregivers who often do not feel in control of the care they receive. These problems will continue to drive momentum and demand in the marketplace for solutions, as will the new payment models envisioned in the Medicare Access and CHIP Reauthorization Act (MACRA) and many state-based reforms.

Read more in the New England Journal of Medicine Catalyst.