%0 Journal Article %T Healthcare Trends for 2018 %A F. Randy Vogenberg %A John Santilli %J Archive of "American Health & Drug Benefits". %D 2018 %X When this view into 2018 was developed, Senate failures to repeal, replace, or change the Affordable Care Act (ACA) had occurred, and left the market unchanged from a legislative perspective. Regardless, relentless market change before and after the implementation of the ACA has left ACA exchanges in financial trouble, providers facing decreased reimbursement, and consumers with limited access to plans by metropolitan statistical area across the country. As a result, commercial health insurance through traditional carriers and employer self-funded market trends have been re-energized %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5902765/