Overview: This program will go through each of the major components of the PPACA and highlight the key provisions that were created to drive the changes necessary to address the poor quality and high costs positioned to bankrupt our healthcare system and national budget. Finally, changes that top performing physicians and healthcare organizations will be described to illustrate how you and your organization can re-position itself to not only take advantage of the PPACA but to achieve the Institute of Healthcare Improvement (IHI) triple aim of better service, lower per capita healthcare costs, and better quality outcomes for defined populations.The Patient Protection and Affordable Care Act of 2010 was passed by a democratic majority for the following reasons:The insurance industry could deny coverage to anyone it chose through the inclusion of 'pre-existing conditions'Fee for service reimbursement causes physicians and healthcare organizations to over-perform ancillary tests and elective procedures and relatively poor quality for high costsThe high number of uninsured and underinsured individuals in the country causing massive cost-shifting to everyone elseImpending bankruptcy of Part A of the Medicare Trust FundThus the Patient Protection and Affordable Care Act has the following components:Insurance ReformQuality ImprovementReimbursement CutsHealthcare Reform