Self-funding is about more than managing costs, it’s about building a benefits model that’s sustainable, transparent, and designed to evolve with the workforce of the future.

The planned eligibility cap would limit subsidies to individuals with income up to 700% of the federal poverty line.

State regulators are investigating a security breach at a third-party vendor for Blue Cross Blue Shield Montana that may have compromised the medical and personal information of hundreds of thousands ...

Dr. John Whyte, the AMA's chief executive officer, recently wrote to Grace Arnold, the chair of the NAIC's Regulatory Framework Task Force, to ask her to create the working group.

Many small employers told a survey team that they want to try programs like ICHRAs, even though they know little about the programs.

Americans in the top-ranked states are more likely to report receiving high-quality, proactive care from their providers and ...

U.S. District Judge Clifton Corker denied TeamHealth's request to see the billing records for an emergency medical practice with ties to UnitedHealthcare's corporate family.

Level-funded plan basics: An employer with a level-funded plan sets up a self-insured plan and uses stop-loss insurance to protect the plan against big claims. The employer makes a fixed monthly ...

A plan participant filed a complaint earlier this month in the U.S. District Court for the Northern District of California against Centene Management, a subsidiary of Centene Corp., which serves as ...

Excessive workloads, chronic staffing shortages, and ineffective wellbeing programs are driving workers away, while AI emerges as a potential lifeline.

Other than out-of-pocket costs, I would wager that prior authorization review is the one thing consumers find most burdensome in our current health system,” said Drew Altman, president and CEO of KFF.

Nearly two-thirds (64%) of U.S. employees have experienced or witnessed a political disagreement at work in the past year.