As the Patient Protection and Affordable Care Act approaches its one-year anniversary, the focus on the law is shifting from the issues of extending coverage and insurance reforms to the structure of the upcoming insurance exchanges, accountable care organizations and the definition of "essential benefits."

Speakers at last week’s National Congress on Health Insurance Reform in Washington noted the shift, particularly Karen Ignagni, president and CEO of America’s Health Insurance Plans, who voiced AHIP’s concerns over ACOs, essential benefits and exchanges.

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