- Iowa: Iowa officials on Monday withdrew the state's so-called "state innovation waiver" under which the state had sought to eliminate its insurance exchange and instead have insurers sell a standardized plan that was similar to silver-level plans. Iowa Insurance Commissioner Doug Ommen in a statement wrote that the "waiver rules are so inflexible that the [waiver] cannot be approved under terms that would be workable for Iowa." According to the Wall Street Journal, Iowa's decision comes after CMS on Thursday outlined the Affordable Care Act's limits on federal funding that could be used to support the request (Meyer, Modern Healthcare, 10/23; Mathews, Wall Street Journal, 10/23; Jost, Health Affairs Blog, 10/23; Iowa withdrawal letter, 10/23).
- Michigan: Actor Mark Wahlberg paid a surprise visit to patients at Beaumont Children's in Royal Oak on Monday. Wahlberg said, "I want to let [the patients] know they are in my prayers and thank all the people who dedicate their lives to helping children and doing so many amazing things. These are the real heroes: the doctors, nurses, and volunteers here" (Russell, WXYZ, 10/23).
- Ohio/Pennsylvania: Cleveland Clinic and Select Medical, based in Mechanicsburg, Pennsylvania, have partnered to open a 60-bed inpatient rehabilitation hospital in Beachwood, Ohio. The facility, which opened on Oct. 10, provides care for patients affected by amputation, brain injury, stroke, spinal cord injury, neurological disorders, and orthopedic conditions (Paavola, Becker's Hospital Review, 10/23).
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