According to the number crunchers most companies would have met these requirements prior to the ACA, so the ACA didn’t move that needle much — if at all. But it does demonstrate that despite the populist claim, it isn’t insurance company profits driving the increase in the medical costs.
Nobody who really digs into the numbers believes that there’s much to be gained in terms of efficiency by getting rid of profits and marketing, which are the usual bogeymen mentioned. Health insurer profits are down around 2.5%, I think, fairly close to grocery stores.
And, considering the private insurers are very, VERY good at eliminating fraud (which is part of the reason why they frustrate people) and the government is demonstrably clueless in doing so……..if you get rid of the insurers, you’ll probably lose more to fraud than you were “losing” to profits.