Despite the uncertainty of the political environment, integrated delivery networks like Renown Health are moving forward with population health and other mission-driven initiatives. In this podcast, Anthony Slonim, MD, DrPH, CPE, FACPE, Renown’s president and CEO, and chair of CMR Institute’s Board of Directors, describes how the Affordable Care Act has affected Medicaid enrollment and access to healthcare services in Reno, Nevada. He also makes a few predictions on what we can expect in the next few months as the Senate considers its own plans to repeal and replace the ACA.