The settlement announced this week between the state and Noridian Healthcare Services over Maryland’s bungled online health exchange is not quite a done deal.

The $45 million deal must still be approved by Centers for Medicare and Medicaid Services, the U.S. attorney’s office for Maryland and the North Dakota insurance regulators, who oversee Noridian Healthcare’s parent company.

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Anthem Inc. has agreed to acquire rival Cigna Corp. for $54 billion, creating the health insurance industry’s biggest company by enrollment.

The agreement announced Friday caps weeks of frenzied deal making in the healthcare sector.

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Glenview Capital Management LLC made a bold decision when President Barack Obama’s health-care overhaul was rolling out: Bet on it.

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A group of Colorado nuns said Thursday they will go to the U.S. Supreme Court to appeal a ruling that allows their employees to receive birth control from a third party under the Affordable Care Act, fueling a combustible argument over contraception and religion ahead of next year’s presidential election.

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Momentum is building for a House vote on the rarest of bills: bipartisan legislation to reform President Barack Obama’s signature legislation, the Affordable Care Act. The Protecting Affordable Coverage for Employees, or PACE Act would tweak the employer mandate to shield larger businesses from stricter requirements.

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A year and a half after the Affordable Care Act brought widespread reforms to the U.S. healthcare system, Chicago’s Cook County Health & Hospitals System has made its first profit in 180 years.

Seven hundred miles south, the fortunes of Atlanta’s primary public hospital, Grady Health System, haven’t improved, and it remains as dependent as ever on philanthropy and county funding to stay afloat.

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Last week, Alaska Governor Bill Walker announced that he will bypass the legislative process and implement Obamacare’s Medicaid expansion by executive fiat.

Walker’s announcement should be no surprise to Obamacare proponents – after all, President Obama has maltreated his executive authority dozens of times to amend his signature law. But expansion may come as a shock to Alaska’s legislative leadership, who last month brokered an informal arrangement with the governor to put Medicaid expansion on hold until 2016.

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Small-business owners are descending on Washington this week to lobby Congress to roll back an ObamaCare rule that could hit companies with thousands of dollars’ worth of penalties.

About 150 small-business owners, organized by the National Federation of Independent Business (NFIB), will head to Capitol Hill on Thursday to make the case to members from their states on legislation that would change the rule.

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Some analysts who have looked at health insurers’ proposed premiums for next year predict major increases for policies sold on state and federal health exchanges. Others say it’s too soon to tell. One thing is clear: There’s a battle brewing behind the scenes to keep plans affordable for consumers.

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Policymakers in Medicaid expansion states likely will try to wring some cash from hospitals starting in 2017 when the federal government no longer pays the full tab for the coverage expansion, experts say.

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