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The president predicted in December that his administration's efforts would cut prices by 400% to 600%.

Regulators could use another guide, still in development, to cope with ERISA preemption of state PBM rules.

"While the U.S. can rightly take pride in having the most advanced health care in the world, that care is increasingly viewed as unaffordable for patients, purchasers, and taxpayers," the American Hospital Association notes in a new blueprint report.

U.S. District Judge Clay Land said in the order that he agreed with the plaintiffs' view that at least some insurance contracts might create obligations for an insurance company to protect the insureds' data.

One question may be who regulates the minimum stop-loss insurance claim size.

Dominant health systems can command sharply higher commercial prices, costs that ultimately flow through to premiums paid by employers and workers.