Richard Umbdenstock: Well, I think the makeup of the new Congress and the greater balance between the parties will necessitate a lot more dialogue and reaching across the aisle. So we expect each party to huddle after last night's elections and figure out what their agenda is and where they want to move in the future. And we'll be ready to work across both sides of the aisle as we always do.
Our guidance throughout the whole reform process and the election season has been consistent, which is focus on the underlying trends toward greater coordination of care, greater public accountability and connecting more of the parts of the system. That's a trend that was established before the bill was passed and is going to continue on into the future in our opinion. Said differently, and maybe a little more succinctly, we've suggested that the members focus on building accountable care and less on organizations and structures or even, until it starts to roll out, the specifics of the bill by building those accountable care systems and improving their performance.
One of the biggest issues for us throughout this debate has been assuring that there is extended coverage to as many Americans as possible, and that was a major achievement in the bill and a major factor in driving our support of the bill. So we'll continue to be strong proponents for expanded access. It's the right way to get people into the system at the right time to get the right care. Now we also understand that there will be debates about other aspects of the bill. But many of the aspects are really supported on both sides of the aisle—delivery system reforms, insurance reforms, greater accountability and transparency. I don't think that those issues will be as politicized. The real issues are around coverage and funding, and we are extremely concerned about being sure that the coverage gains are maintained. And of course we'll be very watchful on what the financial implications will be.
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