Hospitals, physician practices and health insurers breathed a sigh of relief on Election Night as President Barack Obama’s re-election signaled that his administration’s signature legislation—the health reform law—will remain the law of the land and provide some financial clarity for health care stakeholders.

After the health reform bill was upheld by the Supreme Court in June, hospital CIOs and others expressed relief that, whatever their personal misgivings about more government intervention in the market, health reform would ensure that millions of the uninsured would now be able to pay their medical bills thanks to Medicaid expansion and the individual mandate.

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