15 years after the Affordable Care Act: What’s worked and not worked in Value Based Care
At the 2025 American College of HealthCare Executives Congress, an annual educational event attended by over 7000 healthcare leaders, the Delaware Valley ACO (DVACO) was represented by Joel Port, Senior Vice President for Business and Network Development, who co-presented with Mark Angelo, MD, the former CEO of the DVACO, to over 300 attendees. The topic was “15 years after the Affordable Care Act: What’s worked and not worked in Value Based Care”, and it was very well received based on the audience reaction, and the ratings ☺️!
As many of you may recall, the Affordable Care Act (ACA), a comprehensive health care reform law was enacted in March 2010 with two primary goals:
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- Improve access to health care by making health insurance more affordable and accessible, including the expansion of Medicaid, and;
- Fund the Centers for Medicare and Medicaid ( CMS) to support innovative health care delivery programs to improve quality and lower costs.
While this landmark legislation had its supporters and detractors, most would agree that it accelerated CMS’s and other payer efforts to offer value-based care programs and arrangements. Our presentation focused on these innovative value-based care programs, identify these initiatives, discuss what’s worked or not worked to date, present some case studies, and offer up some potential options for success in value-based care in the future.
Similar to the goals of the DVACO, we discussed how we can make value-based care more meaningful and successful in the future, and continue to enhance the US health care system. Parts of this presentation were based on the patient and providers experiences at the Delaware Valley ACO, as well as the ACHE Published book, Caring for Our Communities: A Blueprint for Better Outcomes in Population health.