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  • Without rules that spell out which health plan takes the lead, a young person who lives out of state and is covered by his parents' plan and a college health plan might run into trouble trying to get in-network care when far from hometown.
  • The nation's biggest insurer is starting to dole out bonuses and penalties to nearly 3,000 hospitals as it ties almost $1 billion in payments to the quality of care provided to patients.
  • Verifying that a patient has paid for coverage under the Affordable Care Act can take hours. But if doctors' offices don't check, they can get stuck with the bill.
  • Drugmakers have been criticized for cost-sharing assistance programs that encourage patients to use brand-name drugs instead of cheaper, generic alternatives. The federal government has frowned on the help, but there are expensive medicines for cancer and rheumatoid arthritis that don't have generic equivalents.
  • The insurance pool for people with expensive pre-existing conditions will stay open until the end of March, after another extension by the federal government. Starting this year, the Affordable Care Act bars insurers from rejecting people because of health problems, but they may need more time than originally thought to sign up for coverage.
  • Some of the priciest markets for insurance include rural counties in Georgia and the areas around ski resorts in Colorado. While many people in these places will receive government subsidies to help pay for premiums, the portion that they pay will still be higher than what they would have to foot elsewhere.
  • The Affordable Care Act included a Medicaid pay hike for primary care doctors. It's an incentive for them to see the larger number of patients who will be covered by an expansion of Medicaid under the law. Some other specialists who say they also provide primary care won't be eligible for the increase.
  • As the long, slow demise of company-sponsored retiree health insurance continues, some firms are contracting with Medicare exchanges to try to ease the transition for their former employees.
  • Despite a Justice Department decision giving same-sex married couples equal recognition in federal courthouses, prisons and other programs, inconsistency in the treatment of same-sex married couples under the health law remains. States still make their own decisions.
  • What sets these bargain markets apart? They tend to have robust competition among hospitals and doctors, allowing insurers to wrangle lower rates. Many of the best deals are to be had in Minnesota, where managed care has long held prices in check.
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