Enhanced clinical research lowers costs, improves care; HHS will run health exchanges in 26 states;

News From Around the Web

> More than 40 million Americans live in areas where the estimated increase in primary care demand is greater than 5 percent of the current supply, according to a new study in Health Affairs. Abstract

> Maine's Franklin Community Health Network will cut up to 40 positions in response to mounting financial losses, the Kennebec Journal reported. Article

> With stronger in-house clinical research activities, hospitals can lower costs and improve quality and efficiency, according to Hospitals & Health Networks Daily. Article

Health Insurance News

> The U.S. Department of Health & Human Services will operate health insurance exchanges in 26 states. Article

> Kaiser Permanente has implemented an integrated healthcare model that focuses on prevention, wellness and electronic health records and provides care that's up to 20 percent below market average costs. Article

And Finally… Shoe-shiner donates $200,000 in tips to children's hospital. Article