Maine wants to shrink Medicaid; Geisinger Health Plan lowers payments for weight loss;

> Maine Gov. Paul Le Page says he believes the U.S. Supreme Court's ruling that the Medicaid expansion provision is voluntary means the state can shrink its program without federal permission. Maine is trying to cut about 26,000 people from its Medicaid rolls as early as this fall, FierceHealthFinance reported. Article

> Highmark has spent $32 million to buy vacant land and commercial property throughout Western Pennsylvania, where it is expected to build outpatient medical centers, the Pittsburgh Tribune-Review reported. Article

> The National Association of Insurance Commissioners is determining whether medical-loss ratio (MLR) rebate payments reflected in the numerator before 2014 also should be reflected in 2014 and 2015, LifeHealthPro reported. Article

> Geisinger Health Plan is offering employees of the Geisinger Health System lower monthly insurance payments if they lose weight and take control of their health, according to the Times Leader. Article

> And Finally… The mystery of myopia may be solved by these mutineers. Article