How ACOs Are Slowing Healthcare Costs
This year's historically low rate of growth in health insurance premium costs—just 4%—is attributable to the spread of the Accountable Care Organization model and proof that the Patient Protection and Affordable Care Act is working, says the Commonwealth Fund.

We do not all get care locally. People travel overseas for surgery all the time and more will do so in the future.
La-La land at the Commonwealth Fund. Where is the proof? I've spent 44 years working in health insurance - there are pricing variations from year to year, and what we saw in 2012 were price increases that reflect an over-reaction of insurance pricing decisions made in the prior 3 years. Take a look at the pricing reactions for renewals in the first quarter of 2013 - those are proof that PPACA is working.