HHS Secretary Burwell warns of death spiral; Delaware wants federal government to run exchange;

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> Department of Health and Human Services Secretary Sylvia Mathews Burwell said that should the Supreme Court rule federal subsidies to be illegal, the effects would create a "death spiral" in the industry, while the number of uninsured would increase, according to the Wall Street Journal. However, she added, federal officials are willing to work with states to mitigate negative effects. Article

> Delaware made moves this week to place more responsibility on the federal government to run the state's health insurance exchange, reported Talking Points Memo. The state's exchange currently operates as a hybrid model--part state-run, part federally-run--but Delaware now wants the federal government to take over. Article

> UnitedHealth and Advocate Health Care are expanding their accountable care relationship to reach more than 80,000 Illinois residents enrolled in UnitedHealth's employer-sponsored plans. The recent update on the existing contract takes effect July 1, and aims to improve patients care coordination. Announcement

Health Finance News

> A new survey by an advocacy group for the 340B drug program indicates that participants provide far more care to low-income patients than those hospitals that are not involved in the program. Article

> Connecticut and New Jersey legislators are considering bills that would provide patients some level of cost transparency and allow them to avoid surprise charges by out-of-network providers. But both pieces of legislation have run into resistance from hospital lobbies, which have moved to water them down. Article

And finally … This one's going in the record books as the world's most depressing story. Article