Well everyone...now we know.  The healthcare field, including me and my colleagues, can now exhale as we see our future come into a sharper focus.  The Affordable Care Act, which early post-election seemed to be a goner for repeal, is now on the books as our set of rules for the foreseeable future.  Regardless of whether you did or did not see repeal-and-replace in your read of the tealeaves for the immediate future, understand that focusing on a transition from volume to value is more important than ever in our healthcare climate.  Continued life under the Affordable Care Act will require it!