Edward O’Neil is the owner of O’Neil & Associates, a management consulting and leadership development firm focused on change and renewal in the health care system. His clients include some of the nation’s leading health systems, hospitals, health plans, professional groups, pharmaceutical firms, state and federal agencies, and educational institutions. He retired in 2012 from his position as Professor in the Departments of Family and Community Medicine, Preventive and Restorative Dental Sciences and Social and Behavioral Sciences at the University of California, San Francisco, where he also served as the Director of the Center for the Health Professions. More information on his current work is available here at the firm’s website:

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The changes began to appear in the final two quarters of 2014. By mid-2015, the movement to increase access to health insurance seemed established enough to appear to be a trend. Some of these developments were publicly reported: percentage of lives covered overall, numbers accessing coverage through the exchanges, and trends that seemed to …

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