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The year is 2010 and you are a healthcare administration leader for a large HSO that delivers healthcare in an urban setting across a network of several hospitals, acute care centers, community clinics, and independent physician offices. The PPACA has just been signed into law and the board has called an urgent meeting to go over the provisions of the PPACA and to determine how it might affect the HSO and associated network. After meeting for several hours, the board has proposed that you write a brief on the implications of the PPACA on the HSO, including outlining recommendations on what the HSO will need to do to adhere to PPACA guidelines.

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