Tina Tavares Anchor Contributor Healthcare affordability is one of the most important issues facing American families today. Over a decade ago, the Patient Protection and Affordable Care Act (ACA) reformed how hospitals and providers are paid. Payment models shifted from fee-for-service to value-based reimbursement. Instead of being paid based on the number of visits, tests, or procedures performed, hospitals and providers are now reimbursed based on the quality of the care t