A $5,000 out-of-pocket spending cap on Medicare would result in major savings for enrollees, but would also increase federal Medicare spending by $38.8 billion in 2023, according to a study published June 6 by the Urban Institute.
Author: Jakob Emerson
The U.S. District Court for the District of New Jersey is allowing a lawsuit to proceed against Cigna that alleges the payer has illegally refused to reimburse a radiology lab for $1.5 million spent on COVID-19 testing, violating the Employee…
Much of the world has changed because of the COVID-19 pandemic, and that includes the emergence of virtual-first health plans, or insurance policies that prioritize telehealth for enrolled members.
The Federal Trade Commission is launching an inquiry into the pharmacy benefit manager industry and requiring the six largest PBMs to provide information and records regarding their business practices.
Mutual of Omaha has named Keith Clark chief marketing officer.
Anthem is launching a new telehealth platform to offer digital care to women for pregnancy, menopause and other women's health issues through a partnership with New York City-based Happify Health.
Over 3 million people will lose health coverage and marketplace enrollees will face significantly higher premiums if Congress does not extend the premium tax credits in the American Rescue Plan Act, according to the Urban Institute.
Health savings accounts alongside qualifying high-deductible health plans may have outlived their usefulness, according to an analysis published this month in Health Affairs.
Payers are largely in support of the Biden administration's proposal to fix the "family glitch" within the Affordable Care Act but are urging additional guidance to support implementation, according to a June 3 AHIP letter to the Internal Revenue Service.
Providence Health Plan has named Cheryl Morrison-Bornstein as COO, effective immediately.
