A full, fair reckoning of the impact of the Affordable Care Act (ACA) will take years, says Commonwealth Fund President David Blumenthal, M.D., in his latest "Reflecting on Health Reform" blog post. Yet "the rush to reckoning seems irresistible," he writes. Blumenthal provides a broad look at the early accomplishments and shortcomings of the ACA’s reforms to insurance coverage, health care delivery, and provider payment.