Under Kevin Counihan, Connecticut's health insurance exchange used concerts and storefront offices to reach customers. Courtesy of Chion Wolf/WNPR hide caption

itoggle caption Courtesy of Chion Wolf/WNPR

Leon Evans, director of the community mental health system for Bexar County and San Antonio, broke through barriers that had hindered care. Jenny Gold/Kaiser Health News hide caption

itoggle caption Jenny Gold/Kaiser Health News

The headquarters for University of Pittsburgh Medical Center and Highmark Blue Cross/Blue Shield dominate the Pittsburgh skyline much as they organizations have dominated health care in the region for decades. Jeff Brady/NPR hide caption

itoggle caption Jeff Brady/NPR

Surgeons at Methodist University Hospital in Memphis prepare to transplant a liver in 2010. Karen Pulfer Focht/The Commercial Appeal/Landov hide caption

itoggle caption Karen Pulfer Focht/The Commercial Appeal/Landov