I agree with others too, if people really knew what is really in the Affordable Care Act. I am nearing the finish line to my degree in Health Information Technology Management.
I'll start with this...
For every $1 of Medicare/Medicaid Fraud, the OIG's auditors and other task force, such as HEAT, has recovered $5 in penalties and other fines from faulty hospitals and physicians who were recipients of those fraud loop holes, look the other way greed tactics while optimizing (fraud reimbursement billings that separate components of procedures resulting in HIGHER rates)
to Medicare and for example, performing several Computerized Tomography and Magnetic Resonance Imaging or MR-Angiography scans on a single patient (quite expensive), not seriously considering risks that the multiple scans and the degree of radiation could cause other conditions, yet billing Medicare untold $$$, that's not quality care it contributes to the "RUNAWAY" portion of the screams from the GOP, but in fact, caused by who? the unbridled profiting hospitals and physicians (those particularly) on the wrong side of the fence, so that's when the Office of Inspector General steps in.
Just let me say it this way, the Ryan's "budget" related to Medicare and the motivation behind it is not to be believed! When they talk about Medicare and run away spending...what they are saying in essence is that they are hating that the curtains have been pulled back and they are no longer able to fraud the government sponsored-beneficiary financed system of Medicare or any of their layered cohorts...Sen. Coburn is a physician, Texas Gov's friend of a big pharama principal the wrongs have plagued the healthcare industry.
However, this is another reason that this makes up much of the acid that cause GERD (now erosion) for the Republicans.
The ACA via the DHHS, CMS, OIG and HIPAA has strengthen the rights of patients as well, doctors now know they must
seize fraudulent behavior and stop greed patients are being educated. Major laws addressing Fraud and Abuse are;
False Claims Act, Qui tam actions, Anti-kick back statues, Stark I & II...
Had to get that out...sorry for being long-winded.