It’s no secret that the impacts of the Affordable Care Act (ACA) can create a nasty minefield for physical therapists and other providers in private practice to navigate. In the attempt to universalize healthcare and reduce costs generated by the ACA, the federal government incentivized provider clumping. Hospitals, Affordable Care Organizations (ACOs), and private networks can more easily offset the accruing losses, pad that 90-day no-pay grace period, and afford the mandatory conversion to electronic medical records. So why, oh why would a physical therapist want to remain in private care?