Last summer when we were still waiting for the Supreme Court to rule on the Affordable Care Act, many people I talked to said that regardless of the decision, the wheels were in motion. Too much had already happened for the Court to get the horse back in the barn.
That may be true, but President Obama and the ACA got everything started on a national scale: the focus on reducing readmissions, on care coordination, on patient engagement. When would hospitals have started revamping the discharge process or getting serious about follow-up care without the stick of reduced reimbursements? When would doctors and hospitals and long-term care facilities have started really focusing on any of these serious problems without real incentives to do so?