Nearly 70% of the estimate rests on payments above an insurer-calculated benchmark that a federal appeals court recently found could be artificially low.

This not only would be the fifth-consecutive year of elevated cost growth but also would be the largest annual increase since 2003.

The suits: The new settlement resolves four different federal overtime-pay suits. Each suit was filed on behalf of a group of nurses who had worked for Elevance subsidiaries in areas such as ...

Before 2014, employers in states that allowed medical underwriting had no practical way to offer legal cash-for-coverage plans, because workers who had cancer, had diabetes or were obese would not be ...

USI is a Valhalla, New York-based company with 10,500 employees, 200 U.S. offices, about $3.3 billion in total annual revenue and about $1.5 billion in U.S. benefits revenue. It appears to be a bit ...

Officials at the Employee Benefits Security Administration, a division of the U.S. Department of Labor, talked about the glitch Wednesday in a new set of answers to frequently asked questions about ...

Monahan and her colleagues work at Georgetown University's Center on Health Insurance Reforms, which has traditionally been popular with Democrats in Washington. Monahan's team published the "Fair Pay ...

The history: The National Association of Benefits and Insurance Professionals and other benefits groups lobbied for decades to try to protect insured patients who follow their coverage rules against ...

The IDR entities will rarely give any weight to "mere assertions," and, if a payer thinks that a dispute is not eligible for the No Surprises Act IDR process, then the payer should submit eligibility ...

The new resource website also provides background articles on facility fees and other "site of care" issues, a review of state site-of-care policy proposals, a review of the actions that states have ...

The copay for a drug and other out-of-pocket costs could not exceed the nationwide average consumer price for the drug.

The backdrop: Simple Healthcare was started by David Muhlestein, who was previously the chief research officer at Leavitt Partners, a major health care consulting firm that was started by Mike Leavitt ...