If a lower-court ruling ruling stands, plans will have no defense against irrational claim-fight awards, the groups say.
This session moves beyond theory to give you a proven 10-step framework for building a business case that speaks the CFO's ...
This projection marks the fourth consecutive year of elevated health care cost trends approaching double digits and extends ...
Forty-four percent of health plan and health system leaders are considered AI scalers who expand and integrate AI ...
The agency is considering a risk-based approach that would account for how independently a device acts and the potential harm ...
Urinary incontinence affects an estimated 32% of U.S. women at least monthly, compared with about 8% of working-age men, but few benefits or human resources teams are talking about the condition, ...
When New Hampshire employers and insurers are determining the size of a plan, the term "covered lives" refers to all employees, dependents and spouses in the plan, Bettencourt wrote in the memorandum, ...
Based on that standard, Aramark has made plausible claims that the health plans' TPA now has "money wrongly held," and that ...
Mark Bertolini, the chief executive officer of Oscar Health, an active ICHRA market player, has predicted that the rise of a ...