Chiropractic Breakthrough

Rep. Paul Ryan took the national political stage Wednesday as the Republican Party’s vice presidential candidate, giving a televised speech that laid out one of the GOP’s sharpest cases yet against a second term for President Barack Obama, and for Republicans as the party of small government.

Under pressure from investors unhappy with the health insurer’s performance and direction, WellPoint Inc. Chief Executive Angela Braly resigned Tuesday, and the company’s board said it would begin a search for a permanent replacement. The abrupt shift came as the board’s leadership had been meeting with major investors in the wake of a disappointing second-quarter earnings.

The overwhelming majority of employers say they will continue to offer health care plans after core provisions of the health care reform law take effect in 2014, but most say they will need to make plan changes later to avoid a new excise tax on the most costly plans, according to a new survey.

The American Academy of Pediatrics has shifted its official position on the contentious issue of infant circumcision, stating Monday that the medical benefits of the procedure for baby boys outweigh the small risks.

HHS has awarded eight states more than $765 million in additional grant funding to establish the health insurance exchanges. HHS awarded level-one establishment grants—which provide a year of funding to states that have already started the process to build an exchange—to California, Hawaii, Iowa and New York. Meanwhile, Connecticut, Maryland, Nevada and Vermont received level-two grants, which are awarded to states that have made more progress in their planning efforts.

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CMS will spend $300 million over 3 1/2 years to pay primary care practices an extra fee for managing Medicare patients, an effort to lower costs and improve care for more than 300,000 beneficiaries nationwide.

Aetna announced that it will buy Coventry Health Care for about $5.7 billion in cash and stock in a move by the insurer to push further into government-backed programs like Medicaid.

The Obama administration scored a victory when the U.S. Court of Appeals in Houston dismissed an appeal from the Physician Hospitals of America and the Tyler, Texas-based Texas Spine & Joint Hospital challenging a health care reform law restriction on expansion by physician-owned hospitals.

The Obama administration scored a victory when the U.S. Court of Appeals in Houston dismissed an appeal from the Physician Hospitals of America and the Tyler, Texas-based Texas Spine & Joint Hospital challenging a health care reform law restriction on expansion by physician-owned hospitals.