Tremendous change is coming fast to the health care industry by way of the Affordable Care Act, fueled by economics, consumer demographics and technology, and focused on access, quality and cost, according to Toby Cosgrove, M.D., president and CEO at the Cleveland Clinic.

And the term “access” is changing because of the reform law, he told more than 3,000 insurance officials attending AHIP 2013 in Las Vegas. “Access has always been referred to as insurance, not how you actually get to see a provider.” But Cosgrove walked payers through what “access” means today.

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