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Had the state stuck to its funding plan, this year's payment could have been one-third of the $3.2B the state is paying.

Several groups have urged state agencies to block the deal, saying the merger would limit competition and drive up the cost of prescription drugs.

Verma said the program's myriad troubles underscore why she opposes calls for dramatically widening eligibility for Medicare.

Both the Labor Department and Securities and Exchange Commission are leveraging enforcement initiatives at a historical level of tenacity.

Consumers are becoming more outspoken about hospital billing practices, and providers should take notice if they want to get paid.

"It's no secret that we preferred to start over," McConnell said of Republican efforts repeal and replace Obamacare.

The effort will focus on staffing, surgical outcomes and patient experience in facilities that are performing increasingly complex procedures and seeing more aging patients.