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Southwest General Health Center in Middleburg, Ohio, and Anthem Blue Cross Blue Shield of Ohio have implemented a bundled payment structure for total joint replacement surgeries, reports Crain's Cleveland Business.

As out-of-pocket expenses increase with the prevalence of high-deductible premium plans, gap plans — purchased to cover out-of-pocket expenses — are also on the uptick, NPR reports.

Health insurer Priority Health will drop eight preferred provider organization options from Michigan's Affordable Care Act exchange Jan.1 because of decreased demand for the plans, Traverse City Record Eagle reports. 

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