Abstract

The enactment of the Affordable Care Act (ACA) in 2010 was the most monumental change in US health care policy since the passage of Medicaid and Medicare in 1965.1,2 Despite a bill that was more than 900 pages, the primary goals of the legislation were clear: increase the number of individuals with health insurance; improve the quality of care; and tame the seemingly inexorable increases in the cost of care.

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