As executives teams in health and human services are well aware, the Patient Protection and Affordable Care Act (PPACA) has had an impact on almost every facet of the delivery of services over the past five years. From budgets, to funding streams, to staffing, to consumer preferences – the market pressures are coming from every angle. And while there was some question of whether the PPACA was here to stay, that question has been answered (for at least the next five years), and the PPACA is now one of the defining forces in the health care market.

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