U.S. Health and Human Services Secretary Sylvia Burwell says that the Obama administration will focus on improving quality over quantity in the nation’s healthcare system in the ongoing implementation  of the Affordable Care Act.

As part of this, she says,  the administration plans  to push further on a patient-centered approach.

“Our vision is paying providers for what works, and incentivizes quality over quantity.”

She also emphasized the importance that the administration puts on enlisting states that do not currently accept federal funds for for the Affordable Care Act’s Medicaid expansion. With the recent Supreme Court ruling on ACA subsidies, it seems likely that all or most of the states now refusing to expand Medicaid will do so within the next year or so.