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The two organizations have less than a month to reach and agreement.
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The state will also likely lose about $2.7 billion in funding.
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Some ACA plans may increase as much as 18.7% next year.
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UMMS says Maryland Physicians Care systematically and deliberately denied claims.
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The loss of tax credits could raise premiums, however companies are still raking in hundreds of millions in profit.
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Hundreds of thousands of Marylanders could lose coverage.
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The rule would shorten the ACA marketplace enrollment period.
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The rates are set to sunset this summer.
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Both the House and Senate approved subsidies for young adult health insurance.
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The program saves young adults about $38 a month on premiums.