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Despite a Justice Department decision giving same-sex married couples equal recognition in federal courthouses, prisons and other programs, inconsistency in the treatment of same-sex married couples under the health law remains. States still make their own decisions.

Under the federal health law and 2006 regulations, insurers can't deny medical coverage for an individual's injuries because they resulted from a medical condition such as depression, even if it wasn't diagnosed before the injury.

As the long, slow demise of company-sponsored retiree health insurance continues, some firms are contracting with Medicare exchanges to try to ease the transition for their former employees.

What sets these bargain markets apart? They tend to have robust competition among hospitals and doctors, allowing insurers to wrangle lower rates. Many of the best deals are to be had in Minnesota, where managed care has long held prices in check.

Because North Carolina didn't expand Medicaid under the Affordable Care Act, many low-income people who could otherwise benefit from the law don't. But there are often ways to bump up their incomes just enough to help them qualify for subsidized coverage.

Under the health law, pediatric dental coverage is one of 10 core health benefits that must be offered to people who shop for plans on the health insurance marketplaces. But the plans are only required to cover only medically necessary orthodontia.

San Francisco's Chinatown has long had its own hospitals and health care system. Now, one of the hospitals there is offering health insurance plans on California's exchange specifically for the Chinese-American community. It has been very successful where other plans have not.

Among the thousands of hospitals in the U.S., Medicare has identified 95 where elderly patients were most likely to suffer significant setbacks and another 97 hospitals where patients tended to have the smoothest recoveries.

Dr. Tim Ihrig has almost become a member of the Avelleyra family. He's helping Augie and Phyllis, who've been married 60 years, lead the best lives they can under trying health circumstances. When Phyllis was diagnosed with congestive heart failure, Ihrig asked what she wanted from the rest of her life.

Medicare has tied incentive payments and penalties to two-dozen quality measurements, including surveys of patient satisfaction and death rates. More than 1,200 hospitals are receiving bonuses. But more hospitals are being paid less for each Medicare patient they treat for the year that began Oct. 1.