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Cityblock Health, a tech-driven provider group, has partnered with Humana to serve nearly 20,000 Medicare Advantage and dual-eligible beneficiaries in North Carolina. According to an Aug. 13 news release, Cityblock has been supporting eligible Humana members with complex chronic conditions…

When President Trump signed the No Surprises Act into law in 2020, the straightforward premise was that patients should not be blindsided by massive emergency care bills from out-of-network physicians they never chose. On that front, the law has largely…

Fifty-six percent of employer clients of “Big Three” pharmacy benefit managers — CVS Caremark, Cigna’s Express Scripts and UnitedHealth Group’s Optum Rx — are thinking about switching in the next one to three years. The 2026 “Pulse of the Purchaser”…

The number of people covered by individual coverage health reimbursement arrangements doubled year over year and surpassed 500,000 at the start of 2026, driven largely by a surge in adoption among larger employers, according to the HRA Council’s fifth annual…

Oscar Health expects between 250,000 and 300,000 of its marketplace members to be retroactively disenrolled in connection with CMS program integrity initiatives and fraud, waste and abuse enforcement, the insurer disclosed Aug. 7. The expected disenrollments represent roughly 8% to…

A federal appeals court has ruled that the government’s methodology for calculating the qualifying payment amount within the No Surprises Act’s arbitration process is partly unlawful, a decision that could force insurers to recalculate QPAs and raise some benchmark payments.…