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The Patient Protection and Affordable Care Act could lead to higher health insurance premiums for 11 million employees at small businesses, although it might also reduce rates for about 6 million others, according to a CMS report.

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A new survey has found the average startup costs of accountable care organizations in the first 12 months of operation hit $2 million, but ACOs will likely need twice as much since any shared savings can take another year to…

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