The Affordable Care Act was the most radical restructuring of our nation's health-care system in over 50 years. From hospitals and insurers to physicians' groups, and pharmacy benefit managers, every facet of the American health-care industry has been affected — and consolidated.
The architects of Obamacare insisted the law would lead to greater consolidation and, ultimately, a more efficient, streamlined system. For instance, in the Annals of Internal Medicine, Robert Kocher, Ezekiel J. Emanuel, and Nancy-Ann M. DeParle argued that the Affordable Care Act would “unleash forces that favor integration across the continuum of care.”
