Federal authorities have not signed off on Iowa's low-income health care expansion because they do not like the use of premiums in the plan, Gov. Terry Branstad said Thursday.

Some remain uncertain there will even be a show.

Health executives say they are having a hard time evolving into new health models because of technology.

The company, whose software products are used by more than 20,000 insurance brokerages, carriers and agents, finds that the PPACA can be good for business.