The independent dispute resolution process created under the No Surprises Act has generated at least $5 billion in costs since its launch in 2022, largely due to high dispute volumes and provider wins, according to a study published Aug. 25…
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Massachusetts has approved $75.6 million in health insurance rebates for more than 350,000 residents and small businesses. The rebates are required under the state’s medical loss ratio law, which mandates that insurers spend at least 88% of premiums on medical…
The Justice Department has expanded its criminal investigation into UnitedHealth Group, examining the company’s pharmacy benefit manager, Optum Rx, and how it compensates its employed physicians, Bloomberg reported Aug. 26. The probe now goes beyond the previously reported potential Medicare…
As some insurers and health systems pull back on their Medicare Advantage offerings for next year, Intermountain’s Select Health says it is strategically positioning itself for continued, long-term success in the program by focusing on key areas that will drive…
The Colorado House has passed a bill that would look to mitigate the impact of the looming expiration of enhanced ACA premium tax credits at the end of 2025 by providing up to $100 million in state funds to stabilize…
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When it comes to managing chronic illness, taking the right medication at the right time can be the difference between stability and a medical crisis. For the more than 70 million Americans enrolled in Medicaid, many of whom live with…
The Green Mountain Care Board — the independent agency overseeing Vermont’s healthcare system — reduced BlueCross and BlueShield of Vermont and MVP Health Plan’s requested premiums for individuals and small businesses. The reduced rate increases affected 70,000 Vermont residents, according…
A federal judge has paused portions of a new ACA rule that were set to take effect on Aug. 25, which included stricter eligibility verifications and limitations on premium subsidies. “Eliminating coverage for an estimated 1.8 million people will drive…
Oscar Health is teaming up with grocery chain Hy-Vee to offer a new employer health benefits plan in Des Moines, Iowa. If approved by regulators, the partnership will use an Individual Coverage Health Reimbursement Arrangement (ICHRA) model, which allows employers…
Humana’s board of directors declared a $0.885 per share dividend to be paid Oct. 31. The dividend will be paid to all shareholders of record as of the close of business Sept. 26, according to an Aug. 21 Humana news…