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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.

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.

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.

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.

Dr. Tim Ihrig has almost become a member of the Avelleyra family. He's helping Augie and Phyllis, who've been married 60 years, lead the best lives they can under trying health circumstances. When Phyllis was diagnosed with congestive heart failure, Ihrig asked what she wanted from the rest of her life.

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.

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.

House Republicans are asking why the Obama administration moved money to run the federal insurance marketplace in 37 states, after House Democrats didn't appropriate enough funding.

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.

Millions of Americans might not be able to afford insurance if the Supreme Court rules the government erred in making subsidies available in all states. Arguments are