4.2M people have enrolled in exchanges; Hawaii lawmakers consider charging insurers who don't participate in exchange; Aetna launches new ACO

News From Around the Web:
> Hawaii lawmakers are considering charging insurers a fee if they don't participate in the state's health insurance exchange, reported the Centre Daily Times. Article

> Aetna has reached an agreement with New Jersey's Atlantic Accountable Care Organization, a partner of the Atlantic Health System, to cover more than 28,000 Aetna members, NJ Biz reported. Article

> More than 4.2 million people have now enrolled in health insurance exchanges, the U.S. Department of Health & Human Services announced. Announcement

Health Provider News:
> In the face of budget cuts, consolidations and mergers, hospitals that want to expand their markets must get back to basics and focus on capacity, efficiency and service. Article

> Hospital CEO turnover reached a record high in 2013, according to a report from the American College of Healthcare Executives. Article

Health IT:
> The global healthcare information exchange market is expected to grow to $878 million by 2018 from $558 million in 2013. Article

> Though funding ended Sept. 30 for the ONC Health IT Workforce Training Programs, the universities and community colleges involved are continuing training. Article

> And finally...Crack walnuts with your head. Article

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