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  • After Angelina Jolie announced she has a genetic variant that raises her risk of breast cancer, many women asked their doctors for the test. Insurers will pay for tests only if there's a clear indication that it would help shape medical care. That's often not the case.
  • The technological trials for the online health insurance exchanges have turned an enrollment period that was supposed to be a leisurely three-month stroll into a last-minute sprint for millions of Americans. People who want coverage that starts at the beginning of 2014 need to sign up no later than Dec. 23.
  • Medicare has tied incentive payments and penalties to two-dozen quality measurements, including surveys of patient satisfaction and death rates. More than 1,200 hospitals are receiving bonuses. But more hospitals are being paid less for each Medicare patient they treat for the year that began Oct. 1.
  • Clubfoot is a common birth defect that can make walking difficult. It used to be treated with surgery, which could have serious side effects, but a simple nonsurgical solution is now the norm. It took years of pushing by parents for that treatment to become accepted.
  • Some Californians are choosing plans that don't comply with the Affordable Care Act to save money. They have only a few weeks left to pick coverage that will last a year. It will eventually be replaced by health insurance that includes a full range of essential benefits, but at a higher cost.
  • A likely change in obscure rules governing the Affordable Care Act could save unions a bundle. A fee that starts at $63 for each person covered by union insurance in 2014 would be waived if the administration proceeds as expected.
  • Among the thousands of hospitals in the U.S., Medicare has identified 95 where elderly patients were most likely to suffer significant setbacks and another 97 hospitals where patients tended to have the smoothest recoveries.
  • With a few exceptions, all the policies sold on New York's health insurance marketplace won't pay for routine expenses from doctors or hospitals not in their networks.
  • The percentage of people without health insurance has dropped to 13.2 percent from 20.2 percent in 2012, according to federal officials. The uptick in coverage has been biggest for Latinos.
  • The federal government now factors patient satisfaction ratings into the rates Medicare pays hospitals. Some hospitals with lower ratings are finding it's difficult to change patients' perceptions.
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