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Trump admin seeks health-care price transparency
(The Center Square) - Taxpayer advocates are applauding the Trump administration over its efforts calling for medical price transparency in federal employee health-care plans while health-care industry leaders are pushing
Curing U.S. Health Care, Part I
In 2008, much to their own surprise, leading Democrats unified around a program of major health care reform. Policy wonks had spent years developing the concepts behind what eventually became Obamacare; big Democratic victories in the 2006 midterms and the prospect of controlling both Congress and the presidency made it possible to imagine turning those ideas into reality. During the Democratic primary, Hillary Clinton and Barack Obama advocated similar plans, based on those ideas, for expanding insurance coverage. And it happened! The Affordable Care Act was enacted in 2010. When it was fully implemented in 2014, millions of Americans got health insurance: Impressive as the raw numbers are, they don’t tell the whole story. Before the ACA, even upper-middle-class Americans often found it impossible to get health insurance if they had pre-existing medical conditions. Many Americans were trapped in jobs they wanted to leave but couldn’t for fear of losing their employment-based coverage. Meanwhile, dire predictions from the usual suspects about runaway costs proved wrong. In fact, overall U.S. medical spending has grown much more slowly since the ACA was enacted than before. But the U.S., alone among advanced nations, still falls far short of providing universal health care. As you can see from the chart above, 8 percent of the population was still uninsured in 2024, a number that is set to rise over the next two years as a result of Republican policies. True, many of the uninsured in 2024 were undocumented immigrants, who we don’t try to cover. But there are still a lot of uninsured. Moreover, a significant number of Americans who have health insurance are in fact underinsured. As a result, they are at risk of incurring devastating healthcare costs and are sometimes forced to forgo needed care. This number is set to rise sharply in the next two years as a result of Republican policies adopted under Donald Trump. And not only is the U.S. unique among advanced countries in its under-provision of health care coverage, it also incurs by far the world’s highest healthcare costs per capita. So now may well be a good time to get behind a new push for major health reform — an effort, if you like, to finish the job begun under Obama. Today’s primer is devoted to the economics of health reform. During his failed effort to repeal the Affordable Care Act, Donald Trump famously complained, “Nobody knew healthcare could be so complicated.” Actually, we did know — and it’s not that complicated. Health economists understand the principles very well. And because health policy varies greatly among advanced nations, we know a lot about what works and what doesn’t. This will be the first in a series about health reform. Beyond the paywall I’ll address the following: 1. Why markets can’t be trusted to deliver healthcare 2. Routes to universal healthcare 3. What works? In a follow-up post I’ll discuss the pros and cons of different approaches, and possible paths forward for the United States.
For U.S. medical researchers, shrinking labs and bare budgets are the new reality
The Trump administration has slashed the number of grants from the National Institutes of Health, with far fewer focused on women, cancer and mental health.
For U.S. medical researchers, shrinking labs and bare budgets are the new reality
The Trump administration has slashed the number of grants from the National Institutes of Health, with far fewer focused on women, cancer and mental health.
In CT, doctors now sue patients most over medical bills, surpassing hospitals
Physicians, dentists and other non-hospital providers account for more than 80% of health care debt collection cases in Connecticut courts.
Tri-state people in business: New hires, promotions, recognitions
Sarah Arnold joined Medical Associates Clinic of Dubuque’s family medicine department as a physician assistant.
NYU Langone Health neurologists present latest clinical findings and research at AAN 2026
This year’s meeting features more than 80 presentations from Department of Neurology faculty. Here are notable highlights: practical strategies to counter harmful medical myths and misinformation, phase 3 clinical results for a novel epilepsy medication, and the barriers patients with disabilities face while navigating outpatient facilities.
Minnesota medical drivers plead for help from politicians after national business cancels contract over fraud allegations
A national medical transportation business says allegations of fraud caused it to recently cancel a 20-year contract with a local company. The company says it's not true.
Minnesota company denies fraud allegations after national medical transportation business cancels co
Minnesota company denies fraud allegations after national medical transportation business cancels co
Association of Nigerian Physicians in America hosts free health and outreach event in Jackson
Free medical, dental, vision, and social services were offered during a daylong outreach event in Jackson.
Somali-owned Minnesota transportation company calls contract cancellation ‘blatant discrimination’
Medical Transportation Management’s decision to end its contract with Southdale Transportation Services could result in 95 workers losing their jobs.
Trump taps Texas’ top public health official as CDC chief medical officer
Dr. Jennifer Shuford, head of Texas’ public health agency, has been tapped to serve as chief medical officer at Centers for Disease Control and Prevention.
Trump signs order to hasten review of psychedelics
Ibogaine and other psychedelics remain banned under the federal government's most restrictive category for illegal, high-risk drugs. But the administration is taking steps to ease restrictions and spur research on using the drugs for medical purposes, including conditions like severe depression.
Trump taps Texas’ top public health official as CDC chief medical officer
Jennifer Shuford, an infectious disease physician who oversaw the country’s largest measles outbreak in 30 years, is among a slate of CDC nominations with no apparent ties to the anti-vaccine movement.
Trump taps Texas’ top public health official as CDC chief medical officer
Jennifer Shuford, an infectious disease physician who oversaw the country’s largest measles outbreak in 30 years, is among a slate of CDC nominations with no apparent ties to the anti-vaccine movement.
REMSA Health launches student program to train the next generation of medical emergency first responders (sponsored)
Reno's independent, online news and events source. Established in 2009.
Losing Health Insurance? Here Are Ways to Cut Medical Bills
With increasing numbers of Americans forgoing health insurance because of cost, other services provide ways to lower bills.
Trump signs order to speed up review of psychedelic drugs for mental health treatment
The order eases restrictions on psychedelic drugs like ibogaine to spur research on using the them for medical purposes.
Jackson County installs free health vending machine to combat overdose deaths
Jackson County Public Health installed its first free health vending machine in downtown Lee’s Summit, offering naloxone and other medical supplies around the clock.
Trump Signs Order To Accelerate Legal Access To Psychedelics For Patients With Mental Health Conditions
President Donald Trump has signed an executive order aimed at expanding and expediting research on the potential therapeutic benefits of psychedelics, a move aimed at making substances such as psilocybin, ibogaine, LSD and MDMA more readily available to patients in clinical settings. The move will “dramatically accelerate access to new medical research and treatments based […]
What WA doctors think about how ‘The Pitt’ portrays mental health
As the doctors, medical students and nurses on “The Pitt” made their way through the TV show’s second season, mental health has been impossible to ignore.
What WA doctors think about how ‘The Pitt’ portrays mental health
As the doctors, medical students and nurses on “The Pitt” made their way through the TV show’s second season, mental health has been impossible to ignore.
How an unsolved medical mystery became a life-saving breakthrough
Inside the deadly disease confounding medicine, researchers piecing together clues and the breakthrough that meant survival for thousands of patients.
The Help That Many Older Americans Need Most
With shortages of medical professionals and an aging population, thousands of community health care workers prevent older adults from falling through the cracks.
St. Clair Co. Medical Director Nevin pushes twist on public health
Dr. Remington Nevin, the county medical director, helps to lead the monthly meeting of the St. Clair County Advisory Board of Health.
Coachella Weekend Two brings wind, dust and health concerns for festival-goers
INDIO, Calif. (KESQ) - As Coachella’s second weekend gets underway, thousands of festivalgoers are returning to the Empire Polo Club with wind and dust creating new health concerns.Medical professionals say preparation is key, especially with long hours spent outdoors. Dr. Julie Puzzo, Associate Medical Director of the Emergency Department at JFK Memorial Hospital, says hydration
Texas Medical Board sanctions three doctors for delayed care that led to the deaths of two pregnant women
The Texas Medical Board has disciplined three doctors ProPublica previously investigated whose patients died after receiving delayed or inappropriate pregnancy care under the state’s strict abortion ban.
Detroit Lions NFL Draft Injury Report: Oklahoma WR Deion Burks
Deion Burks NFL Draft medical report. Full injury analysis heading into the 2026 NFL draft. How will it affect Detroit Lions draft strategy?
Can your zip code impact your heart health?
Dr. Deeb Salem from Tufts Medical Center spoke with NewsCenter 5 about the data.
Carrie Ann Inaba Hospitalized After Medical Emergency During Flight
Inaba has since been released from the ER and is recovering.
ECU Health performs North Carolina’s first single port colorectal robotic surgeries using the da Vinci SP system
Dr. Warqaa Akram, colorectal surgeon with ECU Health Cancer Care, performs colorectal procedures using the da Vinci Single Port robotic platform.
College of Public Health Collaborates with Arkansas Cancer Coalition
The University of Arkansas for Medical Sciences (UAMS) Fay W. Boozman College of Public Health conducts cancer research throughout the state. Its partnership with the Arkansas Cancer Coalition is among the reasons why it has such a wide footprint. “It matters that we work with the community on common goals,”…
On the Move Spotlight: Dr. Eric Dreibelbeis
What initially sparked your interest in your current field or industry?I started my medical career as a hospitalist, helping care for some of the sickest individuals in the community when they were at their most vulnerable. I met patients in the ER and took care of them until they were well enough to leave the…
Medical malpractice claim filed against McLeod Health involving death has settled: Lawyer
A Medical malpractice claim filed against McLeod Health involving the death of Flora Mae Clark of the Fairmont Robeson County woman has been settled, according
Valley Health changes staffing contracts, trims service citing ‘Big Beautiful Bill’
Mark Nantz, president and CEO of Valley Health, attributed the changes as a response to how health care is evolving nationally. A rule from the Centers for Medicare and Medicaid Services late last year reduced reimbursements while the H.R. 1, also known as the “One Big Beautiful Bill,” is expected to spur drops in Medicaid enrollment nationwide.
How AI Is Creating A New Age In Healthcare
Deploying AI to sift through massive biological datasets to identify patterns humans may not see is helping to spread medical solutions more widely and at lower cost.
Kaiser Permanente Hawaiʻi offers Maui programs aimed to inspire the next generation of health care professionals
Kaiser Permanente will host its third Career Exploration Day on Saturday, April 25, 2026, from 10 a.m. to 1:45 p.m. at the Kaiser Permanente Wailuku Medical Office. The event is offered in partnership with STEMworks, a program of the Maui Economic Development Board, and is open to intermediate and high school students across Maui County.
Healthcare Briefs: Medical City Frisco and Plano Unveil Mobile ECPR Program
MedCAD receives FDA clearance for AccuStride system for lower extremity surgeries and Parkland Health expands RIGHT Care Program with pilot program for youth mental health.
ECU Health awarded grants from The Duke Endowment to increase access to care
Grants will fund programs and initiatives to improve health and well-being of eastern North Carolina
Eastern Oklahoma VA takes health care to homeless Veterans
Eastern Oklahoma VA uses its mobile medical unit and homeless care team to deliver health care to Veterans experiencing homelessness in Tulsa.
What’s the Buzz about Binge Drinking? – Expert Advice from RWJBarnabas Health
When we talk about binge drinking, it’s often in the context of college-aged adults. However, Alexis LaPietra, DO, FACEP, Medical Director of the RWJBarnabas Health Institute for Prevention and Recovery (IFPR) and Director of Addiction Medicine for Emergency & Hospitalist Services at RWJBarnabas Health, shares that while binge drinking is most common in adults aged 18-25, it is a concern for all ages.
The science behind the flu
As flu season lingers unusually late, UAB experts explain how influenza spreads, why symptoms occur, which prevention strategies truly work, and when vaccination, antivirals and medical care can help reduce severe illness and complications.
Around the MHS
The latest news from around the Military Health System for the week of April 13-17, 2026, includes the U.S. Navy medical team recovering Artemis II, a U.S. Army Captain’s unconventional journey to becoming a dentist, and a first-of-its-kind spinal surgery at U.S. Naval Hospital Okinawa, Hawaii.
Pilot in Deadly Plane Crash Was Being Filmed for Apple Vision Pro Video
Claire Lomas, a British paraplegic known for overcoming medical trauma to participate in the London Marathon, was being filmed for an Apple Inc. immersive Vision Pro video when she crashed an aircraft in the Jordan desert two years ago.
Where are Louisiana’s medical school graduates going? See the data.
Here's how many graduating medical students are staying in Louisiana — for each Louisiana medical school.
The medical AI revolution requires rethinking health care's architecture
"Instead of organizing health data around institutions, we might organize it around individuals," write Meta's Freddy Abnousi and Stanford's Celina Yong.
Colorado state legislators must recognize EMS is essential
By Dusty A. Johnson Currently, emergency medical services (EMS) clinicians such as EMTs and paramedics are not listed as essential in Colorado, and that is not OK. A few weeks ago, the Colorado House of Representatives unambiguously passed a bill to designate emergency medical services as an essential service. My bill is long overdue in […]
Around the MHS
The latest news from around the Military Health System for the week of April 13-17, 2026, includes the U.S. Navy medical team recovering Artemis II, a U.S. Army Captain’s unconventional journey to becoming a dentist, and a first-of-its-kind spinal surgery at U.S. Naval Hospital Okinawa, Hawaii.
Trinity Health Michigan Team Members Recognized with MHA Keystone Center Speak-up! Award
The Michigan Health & Hospital Association (MHA) Keystone Center recognized Camryn Smith and Alicia Evans, medical assistants at Trinity Health IHA Medical Group, as its quarterly MHA Keystone Center Speak-up! Award recipients.
Houston midwife says access to care, systemic racism drive Black maternal deaths; urges prenatal visits
A certified nurse midwife with Ben Taub Hospital says barriers to basic health care along with systemic racism continue to fuel disproportionate maternal deaths among Black women in Harris County, even as Houston sits in the shadow of one of the world’s largest medical centers.
Cal Poly Humboldt to Launch Health & Medical Sciences Degree
The United States is facing a shortage of healthcare workers, a problem especially prevalent in rural regions like the North Coast.
JBAB’s public health team tackles preventative care
Bolling Medical Squadron Public Health ensures the medical mission readiness for military members, federal civilian employees and military families throughout Joint Base Anacostia-Bolling and supporting agencies in the National Capital Region by eliminating preventable hazards before they reach the community.
English still dominates science, but its share fell from 94% to 85%
In 2023, about 85% of the roughly five million articles indexed in major global databases covering the natural, medical and social sciences were written in English. In 1990, the proportion was considerably ...
Language Gaps in Health Care Can Be Deadly—CU Denver Program Trains Professionals to Close Them
Miscommunication in health care can have serious consequences. At the University of Colorado Denver (CU Denver), a medical Spanish certificate program is
Kennesaw State to launch Ph.D. in Biomedical Sciences in Fall 2027
Building on its leadership in scientific research and education, Kennesaw State University on Wednesday received approval from the Board of Regents of the University System of Georgia to launch a new Ph.D. in Biomedical Sciences. The program will begin in Fall 2027 on the Kennesaw Campus. Housed in the College of Science and Mathematics, the degree will help meet the increasing demand in Georgia and the nation for research scientists in biology, chemistry, biochemistry, and ecology.
AAAS Mass Media Science & Engineering Fellowship welcomes 2026 fellows | American Association for the Advancement of Science (AAAS)
Fifteen early career scientists — spanning research areas from medical artificial intelligence to exoplanets to bug science — will join newsrooms around the country and in Puerto Rico this summer to contribute their skills towards increased public understanding of science and technology.
Japan Pledges $10 Billion to Help Countries Cope With Oil Prices
With supply chains at risk, the aid to Southeast Asian nations is aimed at securing the availability of oil-based products, including medical equipment.
Atelerix Forms Strategic Partnership With JH Health Ltd to Expand Non-Cryogenic Cell Preservation Capabilities in the Middle East
NEWCASTLE, England, April 15, 2026--Atelerix, a biotech company revolutionising cell preservation and biological transport with its pioneering hydrogel encapsulation technology, today announced it has established a strategic partnership with JH Health Ltd, a Saudi Arabian company focused on medical and health-related technology. The partnership grants JH Health exclusive rights to use and distribute Atelerix’s hydrogel-based cell and tissue preservation solutions in the Middle East, significantl
Medical scans and chips: the hidden fallout of the Iran war for China
Four months ago, a dozen academics and researchers from China’s top oil and gas producers issued a warning buried in an academic journal: the nation’s quest for self-sufficiency had a critical weak spot.
Bradenton health care summit: Officials warn millions face barriers to medical care due to high, rising costs
The House Ways and Means Health Care Subcommittee Chair Rep. Vern Buchanan (R-Bradenton) convened a health care summit at the Lake Erie College of Medicine in Bradenton on Tuesday.
Wellness Visit Is Free With Medicare Part B
If you are on Medicare medical insurance, Medicare Part B covers a yearly wellness visit. This visit is a proactive way to stay on top of your health.
Study finds no link between medical gender reassignment and improved mental health among young people
An extensive register-based study conducted in Finland has found an increase in severe mental health problems among some adolescents and young adults who have undergone medical gender reassignment (GR). ...
Simon Cherry Receives ESMI Award for Significant, Long-Term Contributions to Imaging Science
The Distinguished Research Professor of biomedical engineering has received the 2026 ESMI Award from the European Society for Molecular Imaging. Among the most prestigious honors in imaging science, the award celebrates a researcher for their outstanding contributions to the interdisciplinary field.
Dr. Laura Riley to Unify Women’s Health Care Across Weill Cornell in New Role
As executive director for women’s health, a role that complements her position leading obstetrics and gynecology, Dr. Riley will unify, coordinate and drive new paradigms for women’s health care across medical specialties.
Survey finds 95% of insured Americans worry about hospital bills
Survey reveals financial strain for many Americans due to healthcare costs, even with insurance. Unexpected medical bills can lead to debt.
Heartflow sues cardiology AI rival Cleerly over alleged patent infringement
According to Heartflow, Cleerly's actions represent “one of the most egregious examples of piracy in the medical technology industry.” Cleerly commented on the lawsuit, defending the value and integrity of its products.
Building a mission-ready DAF mental health enterprise for the future fight
Air Force Medical Service leaders advanced the efforts to align mental health policy, training and leadership practices to mission readiness requirements outlined in the Department of War’s 2026 National Defense Strategy, during the Mental Health Leadership and Readiness Symposium in Orlando, Florida, on March 9-12.
Amy Hillyard: $10,000 reward posted for info on missing Oakland business owner
Amy Hillyard, 52, left her home near Oakland's Lake Merritt on March 25. She is considered at-risk due to an undisclosed medical condition.
UMass Chan faculty, medical students aim to improve health through reducing hospital waste
As part of an initiative to help reduce unnecessary waste, students, faculty and staff participated in a 24-hour trash audit at UMass Memorial Medical Center.
REMSA Health leaders 'perplexed' by Sparks push to consider other ambulance options
Top REMSA Health officials are pushing back against Sparks Mayor Ed Lawson's push to consider other emergency medical service options in the region, saying his
20 years later: How Massachusetts health care reform changed access
Nearly everyone in Mass. has health care coverage — but many still can’t afford care.
Take a Step Toward Better Health with SGMC Health’s “Walk with a Doc” Event
SGMC Health invites the community to take a step toward better health by joining a Walk with a Doc event led by physicians and residents from SGMC Health’s Medical Education Program. The […]
Mercer Health Announces 2026 Sports Physicals for Student Athletes
Mercer Health is now scheduling 2026 sports physicals for area student athletes, offering families convenient access to required pre‑participation exams ahead of the upcoming school year. As part of this year’s program, students who complete their sports physical at a Mercer Health Medical Group location will receive a complimentary t‑shirt, while supplies last. Sports physicals […]
Mercer Health Announces 2026 Sports Physicals for Student Athletes
Mercer Health is now scheduling 2026 sports physicals for area student athletes, offering families convenient access to required pre‑participation exams ahead of the upcoming school year. As part of this year’s program, students who complete their sports physical at a Mercer Health Medical Group location will receive a complimentary t‑shirt, while supplies last. Sports physicals […]
VA launches new EHR at four Michigan medical centers
The new federal electronic health records system went live at facilities in Ann Arbor, Battle Creek, Detroit and Saginaw. The Department of Veterans Affairs also says it is staffing up to support implementations of the long-beleaguered Oracle Health EHR.
ECU Health Medical Center Surgical Intensive Care Unit earns Beacon Award for Excellence
National award from American Association of Critical-Care Nurses recognizes exceptional patient care
Pirates Vs. Cancer rallies against pediatric cancer for 10th year
Medical students at the Brody School of Medicine at East Carolina University marked a decade of raising funds, awareness and hair for pediatric cancer patients during the Pirates Vs. Cancer spring event at the ECU Health Sciences Campus Student Center on April 10.
Detroit Lions NFL Draft Injury Report: Louisville WR Chris Bell
Chris Bell NFL Draft medical report. Full injury analysis heading into the 2026 NFL draft. How will it affect Detroit Lions draft strategy?
Now Hiring: SSM Health in need of medical assistants
The U.S. Bureau of Labor Statistics says careers for medical assistants are growing "much faster" compared to other professions.
How to make a high-deductible health plan work for you
An elementary school teacher chose a low-price health insurance plan but soon realized she wasn't clear about what it would mean for her family's finances.
Philippines’ Marcos Dispels Health Rumors, Does Jumping Jacks
Philippines President Ferdinand Marcos Jr. said he is healthy and fine, refuting social media posts speculating on his medical condition.
Rockledge to get hospital land back from Orlando Health after demolition
Rockledge City Council will vote on a deal to return the former Rockledge Regional Medical Center site to the city after demolition.
1 in 10 health ad dollars go to sites spreading misinformation
Advertising on health misinformation websites reached $336.4 million, with $35.7 million from public health entities, threatening credibility in health info.
UberDoc Health Technologies Corp. Announces Upcoming Investor Webinar
Boston, Massachusetts--(Newsfile Corp. - April 13, 2026) - UberDoc Health Technologies Corp. (CSE: APPT) (FSE: 4KL0) ("UberDoc" or the "Company") is pleased to announce that Sean Kearney, Chief Executive Officer, and Dr. Paula Muto, Founder and Chief Medical Advisor, will present an introduction to UberDoc in a live investor webinar taking place on Wednesday, April 15, 2026, at 11:00 AM PT / 2:00 PM ET.The webinar will be hosted by Cory Fleck of the Korelin Report and provide an overview of...
Community health centers maintained care continuity during COVID-19 pandemic
As the COVID-19 pandemic upended virtually every aspect of people's lives, one critical question loomed large for millions of low-income and underserved healthcare patients: Would they still be able to see their own doctor?
Stanford Health, Alameda County forge new partnership for St. Rose Hospital
Alameda County leaders and health care groups gathered outside St. Rose Hospital last week to announce an expansion to medical services for thousands of East Bay residents.
Doctors expose ‘buffalo hump’ as potential sign of hidden health conditions
A "buffalo hump" — a fatty bulge at the base of the neck — can sometimes signal underlying medical conditions, experts say. Causes range from poor posture to hormonal disorders.
‘The Pitt’ Guest Star Shawn Hatosy Could Make Emmy History
Hatosy won Emmy gold for his performance in the medical drama last year, and this year, he could pull off a never-before-seen feat.
Educate, empower, and advocate: Mercy Medical Center midwife discusses Black Maternal Health Week
Mercy Medical Center midwife Kia Hollis joins Jenyne Donaldson to discuss Black Maternal Health Week.
‘Aggie docs’ coming to San Antonio’s South Side with new medical collaboration
Texas A&M medical students will begin clinical rotations at University Health’s Palo Alto Hospital and Vida clinic in 2028.
AI health questions? 4 chatbot prompt tips to get the most accurate answers
AI chatbots can still get medical questions wrong, according to new research.
Tri-state people in business: New hires, promotions, recognitions
Elvis Kasi joined Medical Associates Clinic of Dubuque’s anesthesia department as a certified nurse practitioner.
New clinic brings at-home health care to La Plata, San Juan counties
HERMOSA – The practice of a doctor traveling to a patient’s home to deliver care – as opposed to the patient traveling to a medical campus or visiting a doctor in an office – is largely bygone. Accord...
Your wishes, your voice: Ochsner doctors encourage families to plan ahead for National Healthcare Decisions Day
Every year on April 16, National Healthcare Decisions Day serves as a reminder that medical emergencies rarely arrive with warning. When they occur, the decisions surrounding treatment often must be
VA launches new electronic health record system in Battle Creek
The U.S. Department of Veterans Affairs has launched a new electronic health record system at its Battle Creek medical center.
Americans wait overnight for access to free healthcare as costs soar ‘out of reach’
Some Americans are sleeping in their cars for days to receive free healthcare from Remote Area Medical's volunteer pop-up clinics across the country. CEO Chris Hall shares details.
Trump Admin Seeks Sweeping Access to Federal Workers’ Health Records
The administration’s access to medical histories raises privacy concerns over abortion and transgender care records.
Memorial Hermann and BCBSTX reach a new deal, restoring in-network coverage, hospital says
The Houston-based health system and the insurance giant had previously let an April 1 deadline pass without a new agreement, meaning many patients across the region were forced to pay higher medical costs or find new doctors.