Ever since the ACA came into existence in 2010, employers, insurers and health care providers have been trying to keep up with various ACA requirements. For employers, these requirements include offering health coverage, calculating potential shared responsibility payments, and new reporting obligations. For insurers, questions often arise about which types of plans must include the ACA provisions, and which are exempt, as well as reporting and fee obligations, benefit design questions and ACA interactions with state insurance laws. Providers must learn new insurance coverage rules, payment mechanisms (such as paying for value instead of volume), and programs that seek to coordinate care, such as Accountable Care Organizations, in order to achieve the triple aim of better care, better overall health and lower costs. The Center's Help Desk and Consult services can help employers, insurers and providers navigate the ACA landscape and achieve compliance.