evidence: President Obama asked each member of his Cabinet to write an Exit Memo on the progress we’ve made, their vision for the country’s future, and the work that remains in order to achieve that vision. Here are their key points on the work ahead to improve health for all Americans. Building on the Progress of the ACA "Repealing the ACA, as some have suggested, risks rolling back consumer protections – like making it illegal to discriminate against those with pre-existing conditions and improving benefits – for Americans who get health insurance through the Marketplace, Medicare, Medicaid, or on the job. A recent study shows nearly 30 million Americans would lose their coverage under one version of repeal as well. We can work together to make the system even better, but we should build on the progress we’ve made, not go backwards." Reforming the Health Care Delivery System "Building on the successful models developed during this Administration, while seeking out opportunities to extend value-based payment to an even broader range of providers and health care services, including high-cost drugs, not only benefits patients but allows clinicians the flexibility to practice medicine in the way that best meets the needs of their patients. The passage of MACRA was a monumental step forward in the effort to reward quality and value in physician payments; however, additional federal legislation should be considered that would use payment incentives to drive the delivery of value-based health care throughout the entire health care system, improve the interoperability of data, and integrate care."