From where I sit I see the following:
1) Insurance companies benefit as much if not more from Obamacare.
Focusing on the insurance companies only.....
They are all under that new 80% - 85% rule already in effect.
(the larger the company, the higher the percentage is)
That means 80-85% of health care premiums must be spent for actual health care, or returned as rebates to patients or employers paying the insurance.
I would say that the larger companies will easily sustain this rule.
(I believe they had lobbyists hard at work during the writing of the PPACA)
The smaller companies won't.
Now we get "consolidation" as the larger companies take over the smaller companies, or the larger companies sell more policies as the smaller companies go out of business. Either way, the larger companies get bigger.
This scenario is similar to the big banks "eliminating" the small banks.
At the same time as this happens, we also see less "resistance" from the insurance companies to healthcare cost increases from the "providers".
The costs go up for actual service and the insurance companies complain less because they must spend the money anyway, and as soon as that 80% - 85% margin is breached, they simply raise the rates to maintain profits.
Insurance is a pyramid scheme.
The ones getting super rich from this is the health provider companies. Most of them are large corporations.
ObamaCare (a.k.a. PPACA) has no provisions for price controls of service (I think).
The very largest insurance companies will be the survivors.
The very largest providers will be the survivors.
Most small companies will be bankrupt.
I call it Marxist / Corporatist.
Looking at "Who Pays"...........
The "taxpayers" do:
a) directly through the "exchanges".
b) semi-directly through your employer.
c) indirectly through the penalty for not having insurance.
The "taxpayers" not only pay for the "collectivism" of healthcare among themselves, the "taxpayers" also fund the non-taxpayers through Medicaid etc.