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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.

The nation's largest companies expect the cost of their health care benefits to rise an average 7 percent in 2013, according to findings released Monday by the National Business Group on Health. Although the rate is a slight dip from earlier years, employers are eyeing a variety of cost-control measures.

Massachusetts officials are announcing that the Obama administration has approved $16.9 million in funding to help develop a statewide Health Information Exchange network that will allow for integrated care and aid in cost containment efforts.