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.

Healthier employers are moving away from the community-rated market, and that's a problem for the community-rated market, according to a new Congressional Budget Office report.

UnitedHealth Group's UnitedHealthcare unit has posted a list of procedure codes for about 1,700 procedures that will no longer be subject to routine prior authorization review requirements. The ...

Regulators in are warning would-be insurance producers against trusting recruiters who seem a little too helpful.

These agreements bring the total number of pharmaceutical manufacturers with MFN deals to 26, covering nearly 90% of the branded drug market.

Employers will need to take stock of any changed reporting obligations and assess whether they are going to continue collecting employee demographic information in light of the changes.

The retailer allegedly filled invalid prescriptions beginning in June 2013, according to the agency's complaint.

Aon today announced plans to buy USI Insurance Services from KKR for $17 billion in cash. Aon executives talked about how adding USI could help Aon reach more "middle market" companies.

However, nearly two-thirds (65.5%) of employers cite employee education as the most common HSA concern while just half provide HSA education only during open enrollment.

The agency alleged that The Villages Health System, based in the 55-plus community of The Villages in central Florida, submitted false diagnosis codes to increase payments from the Medicare Advantage ...