Author: Scott Welch

At issue are parameters an arbiter should consider when determining payment a health plan and provider can’t determine on their own

Two new pharmacy benefit management startups are aiming to inject greater price transparency into the market. The Purchaser Business Group on Health has announced Emsana Health, with its first business arm launching as EmsanaRx, a PBM. As PBGH is a coalition of 40 large employers, the company says its PBM solution is “built by employers, ...

Congressional Democrats are watering down — and may entirely drop — a plan to have the government directly negotiate some Medicare drug prices in order to help clinch a deal on their sweeping social spending package. Top Democrats have acknowledged for weeks that they’ve had to significantly weaken the plan in order to win over holdout centrist lawmakers. ...

California is the first state to let some adult children add their parents as dependents on their insurance plans, a move advocates hope will cover the small population of people living in the country illegally who don't qualify for other assistance programs.

Through this new health plan, eligible UnitedHealthcare members will be able to receive various types of care, including wellness, routine, chronic condition management, urgent and behavioral health services, wherever they are.

The coming federal vaccine mandate could result in a wave of firings of employees who are reluctant to get the life-saving shots. That has many companies nervous that those jobs will be difficult to fill in a labor market where willing hands are increasingly hard to come by.

The Affordable Care Act (ACA) requires medical health insurers to offer a one-month Special Open Enrollment Window (SOEW), when eligible Small Group employers can enroll in medical coverage without having to meet standard employer-contribution and/or employee-participation ratios.

Walmart and Transcarent will work together to make it easy for clients and members to access Walmart services and Walmart’s everyday low-cost pricing

This year, the Illinois legislature was considering measures to expand oral health treatment in a state where millions of people live in dental care deserts. But when the Illinois State Dental Society met with key lawmakers virtually for its annual lobbying day in the spring, the proposals to allow dental hygienists to clean the teeth of ...

There are many theories about what is (and what is not) a good indicator of a stock’s future growth (or decline). However, it is important to note that investment articles – for good reason – usually include an advisory about past performance not being a recommendation or guarantee of any future outcome or profit. Investing is a ...