In boosting his signature domestic policy achievement, President Obama once cited the Cleveland Clinic as a health care model to emulate.
Now, five years since the Affordable Care Act became law, how does that prestigious hospital's CEO think Obamacare is going? In an interview with CNBC's " On the Money ," Dr. Toby Cosgrove says he sees some positive change.
"Health-care inflation has come down," Cosgrove tells CNBC. "We've seen quality metrics go up, and we've seen 13 million new people enrolled with coverage. So I think from those three standpoints, we've certainly seen a success."
Since assuming leadership in 2004, the former cardiovascular surgeon has built the Cleveland Clinic into one of the largest hospital organizations in the country. Last year, more than 5.5 million patients visited the clinic and its member hospitals.
Still, all the news hasn't been good for the clinic. The health-care powerhouse has retrenched financially, slashing part of its more than $6 billion annual budget, in what some observers linked to Obamacare reforms.
While Cosgrove declined to give the Affordable Care Act a letter grade, he calls it a "long-term project."
He added: "One of the things we have to do is keep costs down, and we have to sustain it. As more and more people come in and we have an older population, it's going to be more difficult to do."
Cosgrove said that as Obamacare continues, "we will see the effectiveness of maintaining cost controls in health care."
Cutting costs is something he says the Cleveland Clinic has had to do. "We're about a $6.5 billion dollar organization. Two and a half years ago we looked at the future."
Cosgrove explained the math. "We planned to take $1.5 billion out in costs, about 20 percent," adding that in the past 18 months they've extracted about $500 million in costs.
One of the ways they've done it, he says, is through "Care Pass," a system of streamlining procedures. With "Care Pass," Cosgrove explains, "you take very best of how you do a procedure, take care of somebody, and standardize it. That takes out the variation. As you take the variation out, you improve the quality and reduce the cost."
The medical chief cited orthopedic surgery as an example of what's working. "Everybody (is) doing the same thing, the same way. We've seen lower infections, lower blood transfusions, shorter stay in the hospital and less cost."
Cosgrove tells CNBC he's most excited about progress that "takes care to the patient." He says Cleveland Clinic has made health-care access easier with more than one million same-day appointments a year.