CVS, Walgreens and Amazon are ramping up their focus on in-home medical services and primary care and it will cause major disruptions for more traditional brick-and-mortar providers, industry experts say. Major retailers, including Walmart, are extending their reach deeper into the care continuum and it has major implications for how and where care is delivered ...

Inflation could make the upcoming open enrollment period more challenging than usual for brokers. Four in 10 U.S. employees expect to scale back on the benefits they select, while nearly half say inflation is making it harder for them to pay for benefits.

Employers (of any size) providing prescription drug coverage benefits must distribute an annual notice to all Medicare-eligible individuals by October 15th – including both employees and dependents.

A federal judge’s ruling in Texas has thrown into question whether millions of insured Americans will continue to receive some preventive medical services, such as cancer screenings and drugs that protect people from HIV infection, without making a copayment.

Last month, a strategic decision paid off in spades. Molina Healthcare scored its largest Medicaid win ever as the California Department of Health Care Services on August 25 announced it intends to award the company new or additional contracts in Los Angeles, Sacramento and San Diego counties.

The Affordable Care Act (ACA) requires group health plans to spend a minimum percentage of premium dollars on members’ health care expenses and services. Likewise, it sets a threshold on the maximum amount of premium dollars that can be spent on other administrative costs, such as marketing, profits, salaries, agent commissions, etc.