FORBES | Last week’s Supreme Court decision puts the Affordable Care Act firmly and securely into institutional and cultural permanence. It still bears flaws due to its imperfect construction and divisive passage, but after five years, the new certainty for insurance markets will permit a maturity of risk pools, and the more direct and predictable provider reimbursement moves toward eliminating much of the inefficient cost shifting that obscures pricing and value transparency.
The ACA will need to clear a number of hurdles before it can achieve long-term success. Legislative action will likely be needed to fix some of these shortcomings. The reality is that the new President, Republican or Democrat, will be charged to do what President Obama has failed to do: actively bring the parties to the same table to fix what is broken in the law in order to bring affordable care to those in need.