News
Sun Life U.S. and Claritev work to boost efficiency of supplemental health benefits
1+ hour, 28+ min ago (312+ words) Jul 16, 2026, 11:30 ET "Bringing Claritev's services to self-funded clients will help connect the dots between health plans and supplemental health coverage, leading to more cohesion across employee benefits," said Joi Tillman, president, Group Benefits, Sun Life U.S. "With Claritev, we can take…...
Arbital Health Launches Arbital Flex, a Self-Serve Actuarial AI Solution for Payors and Providers
1+ day, 1+ hour ago (278+ words) Jul 15, 2026, 11:30 ET New offering delivers actuarial-grade analytics on demand, cutting value-based care (VBC) time-to-insight from months to days. Flex is built for organizations that need actuarial insight most, including: With Flex, organizations can upload their own data, analyze any population,…...
As Fertility Benefits Legislation Takes Shape, Maven Clinic Offers Employers Tools for Getting Coverage Right
1+ day, 3+ hour ago (290+ words) Jul 15, 2026, 09:00 ET New research shows how benefit design shapes fertility treatment decisions and employer costs Maven submits public comment in support of the proposed excepted fertility benefits rule, calling on regulators to strengthen key provisions NEW YORK, July 15, 2026 /PRNewswire/ -- Today,…...
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS EARNS NCQA ACCREDITED STATUS FOR COMMERCIAL PLANS
1+ day, 4+ hour ago (110+ words) Jul 15, 2026, 08:00 ET BOSTON, July 15, 2026 /PRNewswire/ -- Blue Cross Blue Shield of Massachusetts today announced it has earned "Accredited" status from the National Committee for Quality Assurance (NCQA) for its Commercial HMO/POS, PPO, and Exchange plans. This marks nearly 20 years of…...
Insurance Coverage Doesn't Guarantee Medication Access, SHARx Says
2+ day, 4+ hour ago (677+ words) Jul 14, 2026, 08:06 ET ST. LOUIS, July 14, 2026 /PRNewswire/ -- Patients often are told a medication is covered and assume access will follow. But SHARx shows administrative barriers, including prior authorization requirements, step therapy protocols, formulary exclusions, and specialty pharmacy restrictions, are increasingly determining…...
Every launches a new model for health benefits that lowers employer costs without reducing employee experience
2+ day, 2+ hour ago (640+ words) Jul 14, 2026, 10:36 ET Every Benefits can reduce startup health insurance costs by up to 12%, based on a typical 25-employee company, while maintaining the same carriers, networks, and overall employee experience. For example, a 25-person company could save approximately $31,000 in a typical…...
State Affairs Raises $70 Million to Help Institutions Navigate the Policy and Regulatory Economy
2+ day, 5+ hour ago (466+ words) Jul 14, 2026, 07:00 ET State Affairs' AI platform for policy and regulatory intelligence, built on daily exclusive reporting and original data gathering, enables customers to analyze and action policy and regulation Already relied on by one-third of state and federal elected officials…...
Georgia Federal Court Dismisses Lawsuit Against HaloMD, Delivering Third Consecutive Victory Over Insurer Lawfare Campaign
2+ day, 16+ hour ago (322+ words) Jul 13, 2026, 20:00 ET Court Rejects Insurer Claims, Suggests Insurers Use "Lowball Offers" to Maximize Profits The Court categorically rejected BCBS Georgia's attempt to weaponize federal and state law to collaterally attack HaloMD, the provider community, the No Surprises Act (NSA), Independent…...
Axxess intelligence® Helps Care at Home Organizations Navigate Financial and Regulatory Complexity
1+ week, 5+ hour ago (288+ words) PR Newswire Existing analytics, reporting and AI-driven tools support informed decision-making in an increasingly demanding operating environment DALLAS, July 9, 2026 /PRNewswire/ -- As care at home organizations face increasing pressure to maintain financial stability while navigating complex regulatory requirements, Axxess is highlighting…...
CareHive Health Launches New Service to Help Members Choose High-Quality, Lower-Cost Care
1+ week, 1+ day ago (219+ words) Jul 08, 2026, 10:00 ET Proactively identifies personalized savings opportunities and provides the support members need to take action with confidence The launch addresses a fundamental flaw in traditional cost calculators and provider directories. For years, the healthcare industry has focused on publishing…...