If former Health and Human Services Secretary Kathleen Sebelius was the poster child for the pitfalls of health care reform, then Patrick Conway might be the hidden face of the law's promises. A pediatrician and top administrator at Cincinnati Children's Hospital Medical Center until 2011, Conway is now leading the federal government's efforts to change the health care system – from one that rewards quantity to one that rewards quality. Right now, health care providers are generally paid – whether by an insurance company or the government's Medicare or Medicaid programs – for each procedure, each test and each patient appointment they conduct.