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A picket line is planned for the evening of April 12, but both parties haven't given up on reaching a deal.
If coverage of the low spenders declines, insurers' ability to offer affordable coverage to high spenders with greater need will also decline.
The House speaker said the idea, modeled after Maine program, has support of both moderates and the conservative Freedom Caucus.
Efforts to gain votes from holdout conservatives repelled moderate Republicans in House; placating moderates kept conservatives from signing on.
The work requirement is one of the most controversial features of Kentucky's proposed strategy to drastically remake its Medicaid expansion.
More than a third of the 1,798 breaches discovered in 2016 affected either large hospitals or academic medical centers, a JAMA report found.
Average urgent care center saw 294 patients weekly, and about 15,300 patients throughout the year, data shows.
Relatively few physicians said these resources improved care "a lot," significantly reduced costs, study says.
Hospitals are increasingly driven to improve in these areas to avoid reimbursement cuts.
Healthgrades said 134,568 patient safety events could have been avoided if all hospitals performed like the winners did.