The Affordable Care Act (ACA) has significantly impacted businesses and the healthcare landscape since it was passed in 2010. It has resulted in both positive outcomes like coverage for pre-existing conditions, but also increased costs for many. In response, insurers and benefit consultants are developing new plan options like self-funded plans that can provide better coverage at lower costs. Technology is also integrating benefits administration, payroll and reporting to help businesses navigate ACA compliance and offering requirements.