The largest overhaul of the U.S. health care system turned five years old this week. Despite past and present legal challenges, the Patient Protection and Affordable Care Act seems destined to remain part of the nation's medical makeup. Given its status, Obamacare has undergone more analysis than perhaps any other piece of legislation in recent history.

Consulting firm PricewaterhouseCoopers jumped into the analysis fray and produced "Five trends to watch as the Affordable Care Act turns five." Without a pause, we continue to the highlights of the Fab Five Shifts spotted by PwC.

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