In a major victory for patients who depend on prescription drugs, Judge John D. Bates of the U.S. District Court for the District of Columbia struck down a Trump administration federal rule that allowed health insurers to not count drug manufacturer copay assistance towards a beneficiary’s out-of-pocket costs. The case was brought against the U.S. Department of Health and ...

Seven percent. That’s the increase in medical costs for health plans that global consulting firm PwC estimates for 2024. But where did the number come from? Should health plan managers, and plan sponsors, be factoring it in with confidence? Based on PwC’s latest in-depth survey of health plan actuaries that represent 100 million covered lives, the answer is “yes.”

A deal more than a decade in the making came to fruition on Sept. 29, when CEOs for both Sansum Clinic and Sutter Health announced the finalization of a partnership between the two nonprofit health care entities. Based in Santa Barbara, Sansum is now part of Sutter Health, a Sacramento-based organization that operates a network ...

The industry is just two weeks away from the beginning of Medicare’s annual enrollment period, a critical window for the hottest market in insurance. The period begins Oct. 15 and runs through Dec. 7, and Medicare beneficiaries will be tasked with the critical decision of enrolling in the fee-for-service program or opting instead for Medicare ...

Without federal intervention, states that have seen megamergers, such as Michigan and California, are often left to wrestle with the complex question of how to respond, given the likelihood of higher prices for their residents.

Consumers who’ve ordered free home coronavirus tests through a federal website could be in for a surprise: they might get kits with expiration dates that passed months ago. But experts say you shouldn’t immediately discard those tests. Even though you might not see it on the packaging, the federal government has extended expiration dates on many of ...