One of the important parts of the ACA is the authorization of Health Insurance Exchanges. Back in 1990 when Sen. Jeff Bingaman (D-NM) and I proposed them, we called them health insurance purchasing co-operatives (HIPC). We envisioned large numbers of like small businesses co-operating to form purchasing pools from which their employees could choose from the offerings of insurance plans that agreed to play by the co-ops value-based coverage rules. These exist today under state laws in several states.
Jeff and I, as federal government employees and retirees (he next year), benefit from a health insurance exchange called the Office of Personnel Management which provides all federal employees/retirees choices of qualified health insurance plans. Why not make it possible for everyone to have similar choices?
See PBGHC for more information.