29 winners and losers under the ACA

The Affordable Care Act has remained controversial since its enactment nearly six years ago, with some parties triumphing over others.

Here are 29 winners and losers under the health law.

Winners
1. Big health systems
2. Regionally dominant healthcare systems
3. Hospital chains
4. Young adults up to age 26 on their parents' insurance  
5. Lower income families
6. Large companies that sell to health systems
7. People with pre-existing conditions
8. Revenue cycle companies
9. President Obama
10. HIT & Data analytics companies
11. Supreme Court
12. Consultants and lawyers (for now)
13. Pharmacy & device companies
14. Epic and Cerner
15. States that expanded Medicaid (for now)
16. Retail clinics
17. Telemedicine

Losers
18. Small independent practices
19. Smaller community hospitals
20. Critical access hospitals
21. Small urban hospitals
22. FTC/DOJ
23. The Republicans
24, Taxpayers
25. Savers
26. Physicians & AMA
27. People who pay retail for insurance
28. States that didn't expand Medicaid
29. Insurance companies

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