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Minnetonka, Minn.-based UnitedHealth Group is acquiring its 32nd hospital in Brazil for an estimated cost of approximately $350 million, according to the Minneapolis/St. Paul Business Journal.

Cigna is losing money on its Affordable Care Act marketplace plans, but the Bloomfield, Conn.-based insurer remains committed and is not considering pulling out of the exchanges, unlike UnitedHealthcare.

University of Iowa Hospitals and Clinics in Iowa City, UnityPoint Health in Des Moines, Iowa, and Genesis Health System in Davenport, Iowa, have agreed to Medicaid managed care contracts, according to office of Gov. Terry Branstad.

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