In this essay, Dr. Peter Shin presents highlights from his study of how community health centers are faring post-ACA, including the challenges of operating in states that chose not to expand Medicaid coverage. Shin also notes that critical federal funding could be in jeopardy after 2017 unless Congress takes action.

This essay takes a look at developments in the small group market since the passage of the ACA and highlights several issues that could threaten the long-term viability of this market as implementation moves forward.