ACA - Where from Here?

By my count, [our recent] national election was the third near-death experience faced by the Affordable Care Act (aka: Obamacare, ACA). The first was the election of Scott Brown to the U.S. Senate in late January 2010, denying Senate Democrats their vital 60th vote -- leading most commentators to declare the drive for health reform dead. The second was the Supreme Court decision released in late June of this year -- again, most commentators thought the law was going down, and it almost did except for a change of mind by Chief Justice John Roberts.

Having been through more than a few national and state health reform campaigns, I can attest that being in a health reform campaign often feels like an Indiana Jones movie -- frequently, we are inches away from doom, and sometimes it happens. We now may be over the "giant boulder chasing us down a hill" phase, but we are far from out of the woods regarding full and effective ACA implementation. Here are some upcoming key challenges and processes...

[This article appears in its entirety on Boston.Com. Read more here.]