The Obama administration has no contingency plan if the Supreme Court strikes down the subsidies at the heart of the insurance exchanges, Health and Human Services Sec. Sylvia Mathews Burwell said in a letter to Congress last week. Arguments in King v. Burwell are slated for today, March 4. MedPageToday shared some of the responses from experts asked "What if" SCOTUS rules against the administration. (The Hill; MedPage Today)

Five Maryland-based health systems have formed an alliance--Advanced Health Collaborative--to strengthen their performance under the state's global budget reimbursement system, Modern Healthcare reports. Investing in care management infrastructure "gives everyone access to lower costs and best practices," says Robb Cohen, CEO of the alliance. The systems involved in AHC have 10 hospitals. Joint projects will include care management infrastructure designed to reduce patient hospitalization, she says. That could include investments in updated IT infrastructure and telemedicine, multidisciplinary patient-centered care teams, medication therapy management and primary care office redesign. (Modern Healthcare)