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BenefitsPRO.com is the leading source of employee benefits news, trends, opinions, and sales tips for benefit brokers, managers, and retirement advisors.
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News
Elevance agrees to $3.4M settlement over denied surgeries
1+ mon, 4+ week ago (39+ words) BenefitsPRO Elevance agrees to $3.4M settlement over denied surgeries What You Need To Know - The sacroiliac joints connect the base of the spine with the hip bones. More From HR Executive...
Elevance Health pays $342M to settle overbilling allegations
2+ mon, 1+ week ago (21+ words) BenefitsPRO Elevance Health pays $342M to settle overbilling allegations More From HR Executive...
No Surprises Act dispute resolution services award $1K for $81 ER visits
3+ mon, 3+ week ago (733+ words) The services' medan award for an hour of hospital observation services is 327.9 times the usual market rates. The independent dispute resolution services that handle fights over No Surprises Act claims decided 225,795 cases involving physicians who billed for "emergency department visits…...
ACA exchange enrollment beat early forecast by 25%
2+ mon, 1+ week ago (21+ words) BenefitsPRO ACA exchange enrollment beat early forecast by 25% More From HR Executive...
Aetna, Cigna, Elevance and UnitedHealth back new prior authorization standards push
4+ mon, 2+ week ago (68+ words) BenefitsPRO Aetna, Cigna, Elevance and UnitedHealth back new prior authorization standards push What You Need To Know - Big insurers say the new standards will apply to many services by Jan. 1, 2027. - Cigna predicts it will use the standards for 70% of its…...
HHS boosts health record networks with $5.6M audit contract
2+ mon, 4+ day ago (23+ words) BenefitsPRO HHS boosts health record networks with $5.6M audit contract More From HR Executive...
New health care advisory committee established to help HHS and CMS
5+ mon, 1+ week ago (22+ words) BenefitsPRO New health care advisory committee established to help HHS and CMS...
California IVF benefits mandate collides with Trump administration draft health rules
4+ mon, 4+ week ago (596+ words) The proposed 2027 regulations would also block California's hearing aid and wheelchair mandates, the state's governor says. The draft regulations could also take hearing aids away from children and take wheelchairs away from people who have trouble walking, Newsom says. Newsom…...
Aetna sued by Kansas over alleged False Claims Act violations
2+ mon, 1+ week ago (75+ words) BenefitsPRO Aetna sued by Kansas over alleged False Claims Act violations What You Need To Know - Kansas alleges Aetna keeps a portion of the false savings obtained by underpaying providers. - The state also alleges the TPA uses funds from its…...
HealthCare.gov's 'name your own price' plans start to take shape
3+ mon, 1+ week ago (953+ words) A reference-based-price plan will have to post its prices on an easy-to-find and easy-to-understand website. HealthCare.gov managers are trying something new — and that could give employers and benefits advisors a new way to find out what at least some…...