Access to quality health care systems is essential to good health, and it is not possible without affordable, quality health insurance coverage. While there is consensus that more reform is needed to improve the value we receive from our investment in health care in the U.S., questions remain around the optimal mechanisms to achieve this goal. In 2017, the Robert Wood Johnson Foundation awarded seven grants, managed by AcademyHealth, to support policy-relevant analyses that can inform strategies to ensure access to high-quality, affordable health care and insurance coverage, including issues related to the affordability and stability of the individual insurance market, the experiences of patients and providers in Medicaid and the safety net, and strategies regarding benefit design and consumer engagement, among other important topics.