In my position on the front lines of health care (Paramedic), I'm seeing changes in the Hospitals, 911, and other medical providers that are going on. Some are directly due to the ACA, others might be, and some are just changes.
The teaser title is about two systems and how they are responding to the ACA changes. One system has four hospitals in the county and is part of a nation wide system. They announced layoffs last week as a way to get ahead of an expected $218 million dollar loss next year due to cuts in Medicaid/Medicare payments. (yes, the Medi's are suppose to cut what they pay and go to a system of rating the care provided for further cuts or bonus payments)
The system also is currently losing about $75 million a year for non-payment of existing bills (among other things - liability, new equipment, training, etc)
The other system has five hospitals in the county and a few more over two states. They also expect to see a cut in what the Medi's payout, but are working to qualify for the bonus payments, are helping enroll every person who shows up and says "I don't have insurance". They set a goal of reducing the non-payment of bills from the current 40% to under 20% by 2015. From what they have said, this will let them break even in 2015, an improvement from the losses they currently have.
So, there you have one persons view from the street: ACA is Saving/Killing our Hospitals. (really just how you react to it.)