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Premium assistance programs have come under fire from insurers.
189 of the hospital's 289 beds have been relocated to the Advanced Pediatric Care Pavilion, a six-story tower that includes new technologies, family accommodations.
Patient factors must weigh equally under Hospital Readmissions Reduction Program to avoid crippling penalties for safety-net facilities, study says.
Elizabeth Mitchell of the Network for Regional Healthcare Improvement said with preparation, it would be hard to still get hit with penalty.
Federal spending would rise by $47 billion over the next 10 years if tax credits make up difference for insurer cost-sharing, court filing says.
Standard now will be reviewed by the Office of Administrative Law, which proponents expect will approve the new rules.
Only about a third of plans available are silver, another third are bronze offering 60 percent coverage, 25 percent are gold or platinum plans offering 90 percent.
Insurers can transfer customers who have purchased policies through an ACA insurance exchange, other commercial plans when they become eligible.
Cost savings are further bolstered by avoiding unnecessary surgeries and achieving lower rates of expensive complications.
Anthem and Cigna spent a combined $3.4 million, double the $1.2 million spent by Aetna and Humana.