What is needed:
a) risk corridors need to be funded for a period of time until insurers have experience to price/provide care and can rightly price and most folks sign up and have insurance
b) missing from PPACA - address/add protocols that control/limit pharma from driving up US healthcare costs - ACA needs to include requirements for generic and mail order use; limit what pharma can charge; provide bulk pricing controls - have feds negotiate pricing
c) expand family/individual subsidies so that those who do not meet 250% of poverty can get subsidies (expand to 275%) and deductible coverages
d) enforce all states expanding Medicaid

"with income-based tax credits, 77% (9.4 million consumers) are able to purchase a plan for $100 per month or less – and 72% will be able to find a plan for $75 or less per month"   

e) look at expanding criteria to meet Medicaid coverage e.g. retired at 55 yrs

http://mailchi.mp/openminds/health-services-affordability-for-the-under-65-crowd?e=c4af2af906