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Only 17 states and the District of Columbia have proposed running their own insurance markets. Experts had expected mostly small states to seek federal help, but some of the nation's largest have said they will not run an exchange on their own.

Christopher Campbell is one of at least nine Americans known to have died fighting for Ukraine since Russia's invasion began in February 2022.

Without rules that spell out which health plan takes the lead, a young person who lives out of state and is covered by his parents' plan and a college health plan might run into trouble trying to get in-network care when far from hometown.

Hospice policies that reject patients on the grounds that no one's at home to care for them, while increasingly rare, do still exist around the country. But for many families, that's just not an option.

The nation's biggest insurer is starting to dole out bonuses and penalties to nearly 3,000 hospitals as it ties almost $1 billion in payments to the quality of care provided to patients.

Some of the priciest markets for insurance include rural counties in Georgia and the areas around ski resorts in Colorado. While many people in these places will receive government subsidies to help pay for premiums, the portion that they pay will still be higher than what they would have to foot elsewhere.

Drugmakers have been criticized for cost-sharing assistance programs that encourage patients to use brand-name drugs instead of cheaper, generic alternatives. The federal government has frowned on the help, but there are expensive medicines for cancer and rheumatoid arthritis that don't have generic equivalents.

The insurance pool for people with expensive pre-existing conditions will stay open until the end of March, after another extension by the federal government. Starting this year, the Affordable Care Act bars insurers from rejecting people because of health problems, but they may need more time than originally thought to sign up for coverage.

People hoping to save a few dollars by choosing insurance with low upfront costs may be losing out. Hospitals and other health care providers sometimes fail to apply discounts when individuals, rather than insurers, are paying the bills.

As the long, slow demise of company-sponsored retiree health insurance continues, some firms are contracting with Medicare exchanges to try to ease the transition for their former employees.