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After Angelina Jolie announced she has a genetic variant that raises her risk of breast cancer, many women asked their doctors for the test. Insurers will pay for tests only if there's a clear indication that it would help shape medical care. That's often not the case.

No one knows for sure right now how many of the estimated 14 million people who buy their own coverage are getting cancellation notices, but the numbers appear to be big. Some insurers report discontinuing 20 percent of their individual business, while other insurers have notified up to 80 percent of policyholders that they will have to change plans.

The medical screening tests offered by churches and other nonprofits may sound like a great idea. But some of the tests, which are performed by for-profit companies, are not recommended by national organizations because they can lead to invasive testing and unnecessary treatment.

The president offered a fix for people whose insurance coverage has been canceled because it didn't meet the minimum standards of the federal health law. But will insurers follow through? And even if they want to, will state regulators let them?

Running a hospital that scores well on keeping more patients alive or providing extensive charity care doesn't translate into a compensation bump for top executives. Nonprofit hospitals have been under scrutiny for paying high salaries to chief executives while skimping on benefits for their communities.

As biotech investments and medical device development falters, hospitals are turning to other avenues to help cut costs: streamlining billing systems and investing in simpler medical products.

In Michigan, areas with more cardiac catheterization labs — places where patients are diagnosed for heart problems — tended to have more interventions than those with fewer labs.

Before a colonoscopy, ask the doctor about his or her detection rate for polyps. And find out how long, on average, the doctor takes to withdraw the scope from the patient. About 10 minutes is the optimal duration, a recent analysis says.

Last year, a little more than half of employers offered health benefits for domestic partner according to a nationally representative sample of about 3,000 employers surveyed by benefit consultant Mercer. That's up from a little less than one-third in 2010.

Research suggests that patients in Canada do better when hospitals spend more on specialized tests and treatments. But the same may not be true in the U.S., where hospitals are already better equipped.