Time is short and the political differences are formidable for a bipartisan Senate effort.

Modern Healthcare: Three separate legislative trains, one from the right, one from the center and one from the left, are running down Congress' heavily mined healthcare reform tracks, and it's not clear which one will reach the station.

Time is running out fast, at least for the conservative and centrist trains. That spells trouble for insurers, providers and patients heading into 2018.

Healthcare industry groups hope the winner is the bipartisan initiative being crafted in the Senate Health, Education, Labor and Pensions Committee to stabilize the individual market and reduce premiums for next year.

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