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Jan 27 (Reuters) – The S&P 500 and the Nasdaq opened higher on Tuesday as investors parsed a fresh round of mega-cap earnings, while health insurers declined as the Trump administration's Medicare Advantage payment proposal disappointed investors. At 09:30 a.m. ET, the Dow Jones Industrial Average fell 305.69 points, or 0.62%, to 49,106.71, the S&P 500 gained 13.94 points, or 0.20%, to 6,964.17 and the Nasdaq Composite gained 112.68 points, or 0.48%, to 23,714.03. (Reporting by Pranav Kashyap in Bengaluru; Editing by Krishna Chandra Eluri)
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