United States Health Care Reform: Progress to date and next steps

Abstract

The Affordable Care Act (ACA) has significantly improved access, affordability, and quality of health care in the United States. Since its enactment, the uninsured rate has fallen by 43%, driven by the law’s reforms. Research demonstrates accompanying improvements in access to care, financial security, and overall health. The ACA has also spurred changes in payment systems, moving away from traditional Medicare payments towards alternative models. These reforms have contributed to slower growth in per-enrollee health care spending and improved quality. However, further progress is needed. Policymakers should continue to implement the Health Insurance Marketplaces and delivery system reform, increase financial assistance for enrollees, introduce a public plan option in underserved areas, and address high prescription drug costs. Despite political challenges, the ACA’s success demonstrates that positive change is achievable for complex national issues.