President Obama has vowed not to allow sequestration to occur, but he'll need to woo Republicans in order for that to happen, which will require compromise and that puts tenets of the PPACA in play.
"Republicans don't want the $1.2 trillion cut—which is half domestic and half defense—to go into effect, either. So, there has to be negotiations to figure out how to get this done," said Oldaker.
Lutes noted, however, that the President seems to be sending signals to Republicans that he's "open to compromise and open to new ideas," as long as the approach is balanced.
With the fiscal cliff commanding the attention of Congress, and keeping healthcare financial leaders on the edge of their seats, legislators will need to work fast.
Despite the negotiations to come over the specifics of healthcare reform, Oldaker said the law unquestionably here to stay. "What's unassailable from this election is that the ACA is now going to be permanent and the regulations will be implemented," he says. "Watch for a flurry of regulations coming out in the near future. And the [health insurance] exchanges will be implemented to the extent that each state wants to implement them."