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Health insurer giant Aetna said Monday it will buy Coventry Health Care for $7.3 billion, including Coventrys debt, a deal that will expand its Medicare and Medicaid business.

The jobs-and-economy election suddenly seems all about Medicare for now, at least.

A state board approved a $72 million contract Tuesday to implement a health insurance exchange in Nevada under the federal Affordable Care Act, but Gov. Brian Sandoval said the program will need to become self-sustaining if it is to continue.

Here are a few glimpses of the future coming in health care.

Employers with large part-time and low-wage populations especially retailers are more likely to take measures to avoid triggering a costly requirement to provide health care coverage to employees that used to be ineligible.

Timothy Jost and others who represent consumers in proceedings at the National Association of Insurance Commissioners (NAIC) are scoffing at the idea that the Patient Protection and Affordable Care Act of 2010 (PPACA) will have little effect on the small-group health insurance market.

Tried-and-failed attempts at bridging health care gaps have already highlighted cracks within the health care reform platform. But even if the feds can't get things quite right, at least they and employers understand who reform can help most.

Republican governors who've balked at creating new private insurance markets under President Barack Obama's health care overhaul may end up getting stuck with the very thing they're trying to avoid.