News
Aetna, Cigna, Elevance and United Health back new prior authorization standards push
2+ hour, 49+ min ago (68+ words) Benefits PRO Aetna, Cigna, Elevance and United Health 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…...
Amazon One Medical launches weight management program with 'upfront' GLP-1 costs
5+ hour, 10+ min ago (28+ words) Benefits PRO Amazon One Medical launches weight management program with 'upfront' GLP-1 costs More From HR Executive...
Health care spending returns to pre-pandemic trajectory as costs climb
1+ day, 5+ hour ago (26+ words) Benefits PRO Health care spending returns to pre-pandemic trajectory as costs climb More From HR Executive...
Companies are subsidizing health care for low-wage workers
3+ day, 24+ min ago (325+ words) "Employers can offer markedly different health benefit experiences for workers, affecting access to care, the affordability of coverage and the scope of benefits provided," a new report from Peterson-KFF Health System Tracker said. Employers across all industries, business sizes and…...
Large employers demand accountability as health care prices surge
1+ week, 2+ day ago (319+ words) "These priorities, coupled with the growing frustrations our members are expressing, should be a wake-up call for many health care stakeholders who think the status quo is acceptable and that the days of blank checks will never end," said Elizabeth…...
Administrative AI fails to lower health care costs under current incentive models
1+ week, 2+ day ago (207+ words) Catch up on the most-pressing HR concerns, latest compliance issues, employee engagement strategies and workforce trends. Administrative waste costs the U. S. health care system an estimated $350 billion each year. This includes $266 billion that is attributed to administrative complexity and between $59 and…...
Anthem lawsuit against Halo MD dismissed under No Surprises Act
1+ week, 2+ day ago (288+ words) A California federal judge on Monday dismissed all claims in Anthem Blue Cross of California's lawsuit against Halo MD, which manages independent dispute resolutions under the federal No Surprises Act. Anthem alleged that Halo MD had exploited the resolution process…...
Researchers say insurers 'tunneled' 5% of profits to pharmacy affiliates
1+ week, 2+ day ago (740+ words) Big U. S. health insurers are using pharmacy affiliates to get around the Affordable Care Act minimum medical loss ratio requirement, or profitability cap, a team of economists says. When a health insurer affected by the ACA minimum MLR requirement is close…...
California IVF benefits mandate collides with Trump administration draft health rules
1+ week, 3+ day 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…...
Stop-loss insurers are using new tools to 'laser' out more patients
1+ week, 6+ day ago (63+ words) Benefits PRO Stop-loss insurers are using new tools to 'laser' out more patients What You Need To Know - Thornton has seen more issuers leaving the stop-loss market than entering. - The market interests of the remaining players appear to be similar....