Diana Dooley

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California Health Secretary on ‘Disruptive Innovation’ of the ACA

Diana Dooley (right), Secretary of California's Health and Human Services Agency, talks with KQED's Lisa Aliferis about the Affordable Care Act at a New York Times conference at UCSF. (Michael Loccisano/Getty Images for New York Times)

Diana Dooley (right), Secretary of California’s Health and Human Services Agency, talks with KQED’s Lisa Aliferis about the Affordable Care Act at a New York Times conference at UCSF. (Michael Loccisano/Getty Images for New York Times)

Diana Dooley is head of California’s Department of Health and Human Services and — in that role — also serves as chair of the Covered California board.

So when the New York Times came to town last week and held its Health for Tomorrow conference at UCSF, organizers invited me to interview Dooley about how the Affordable Care Act is rolling out in California.

Yes, sign-ups during the first open enrollment were strong, but in no way was Dooley claiming victory. She joked that grading is happening on a curve. “We’re not absolutely good; we’re relatively good,” she said.

Four times during our 30-minute talk, Dooley spoke of the “jury being out” on whether the ACA will ultimately be a success. She referred to coverage expansion being just one leg of the ACA’s three-legged stool. The other legs include payment and delivery reform, as well as prevention and wellness. Continue reading