I personally think the focus in Washington is wrong.  While the convoluted mess of regulations that is the ACA needs fixing this year, certainly, the cost of healthcare needs to be analyzed and reworked.  Not through 70's era or post-WWII price controls (which helped create the mess we're in now) but honest study of the components of healthcare costs and agreement on reforms.  By that I mean, for example, that we don't say pharma can't charge more than $5 a capsule or something, but maybe we develop a matrix of allowable costs and a review of price increases, so we don't have another Epipen episode with prices quadrupled for a drug that hasn't changed, and for which there are no development costs left to cover.  

Insurance reform will continue to be a matter of paper and numbers shuffling until cost analysis and reform is carried out.  Just as college costs will continue to be a matter of paper and numbers shuffling until administrators are forced to explain and justify their costs.