The impact of the ACA on larger businesses - especially those that self-insure - is far less than what they would experience in the standard commercial insurance market were they to go out and purchase traditional coverage.

For the United States, the ACA is a revolution, an enormous set of changes that many see as a huge step forward and many others see as a wrong turn.

Many organizations help businesses to stay on top of what's changing or likely to change. It's important for executives and managers who focus on a company's health coverage to stay up-to-speed on what's happening, and it's important for those in the C-suite to understand the changes to factor these new variables into their strategic planning calculus.

While the ACA's insurance expansions and reforms represent a great leap forward for the U.S., it is also true that when fully implemented by 2018, the U.S. will still have the most inefficient, wasteful, and unfair health insurance system of any advanced nation, even with the ACA reforms.

ACA is advancing an agenda of dramatic and necessary change in how medical care is delivered in the U.S.

The impact of the ACA on larger businesses - especially those that self-insure - is far less than what they would experience in the standard commercial insurance market were they to go out and purchase traditional coverage.

As a nation, we are on a path of rapid and deep systemic change to our health system, and it's going to unfold for some time to come. It is already transforming the fundamental nature of the U.S. medical care delivery system.