For the last eight years, far too much of the national debate on health care reform has focused on health coverage and not health care.

For those leading the charge back in March 2010, the Affordable Care Act was predominantly framed as a reform of the insurance sector. Fast forward to today and Republicans and Democrats are still arguing over things like exchange enrollments (vs. expectations) or what steps can be taken to directly control spiraling cost increases in monthly premiums.

To have any chance of success, real health care reform needs to dramatically change how we pay for what we get. The current model is broken.

Click here to read more from President Rita Numerof’s recent commentary for CNBC, Health care reform: Three ways to fix Obamacare.