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Affordable care 2014: a tale of two boards
  1. Joshua A Hirsch1,
  2. Robert M Barr2,
  3. Geraldine McGinty3,
  4. Gregory N Nicola4,
  5. Pamela W Schaefer5,
  6. Ezequiel Silva III6,7,8,
  7. Laxmaiah Manchikanti9,10
  1. 1Neuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
  2. 2Mecklenburg Radiology Associates PA, Charlotte, North Carolina USA
  3. 3Department of Radiology, Weill Cornell Medical College, New York, USA
  4. 4Hackensack University Medical Center, Hackensack, New Jersey, USA
  5. 5Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
  6. 6South Texas Radiology Group, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
  7. 7South Texas Radiology Group, San Antonio, Texas, USA
  8. 8University of Texas Health Science Center, Department of Radiology, San Antonio, Texas, USA
  9. 9Pain Management Center of Paducah, Paducah, Kentucky, USA
  10. 10Department of Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, Kentucky, USA
  1. Correspondence to Dr Joshua A Hirsch, Neuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA; Hirsch{at}


The Patient Protection and Affordable Care Act (ACA) became law on 23 March 2010. As part of the law, two independent boards were established. The Patient-Centered Outcomes Research Institute embodies national aspirations for employing comparative effectiveness research in healthcare decision-making, and the Independent Payment Advisory Board is focused on the need for a group of impartial experts to establish anticipatable growth rates for Medicare. Approximately 4 years after the bill was passed into law, these independent boards are at very different points in their life cycles. This article provides a status update.

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