I actually work in the medical field, I don't know about the premiums or whatever but thank fucking god the ACA is forcing all insurance companies to do electronic remits, most of our client hospitals/practices are saving 10%+ of their revenue that used to go into useless people entering data from fucking paper EOP/EOBs.
Also, most insurance plans for young people suck dick (necessarily), now most companies have to actually cover things in order to call it insurance, thus you having to change your plan, because your current plan is now illegal.
This is bad in some ways, I agree, but in a zero sum game like health insurance either you're paying 3x to cover the sick as a young healthy person like a real ins. pool should or someone is going into debt (either the sick people or the gov't from having to cover emergencies).
Economically speaking the ACA is overall a good thing, I think around 2016 to 2018 when HIEs, Full Electronic Claims, 100% EMR market penetration etc. come about the view of the ACA is going to switch to "thank god we didn't listen to the tea party retards" and a little bit of "we should have still paid attention though and not slobbered on Obama's knob by just hammering it through".