Medicare Part D creditable coverage: CMS tries to manage the flow of Medicare Part D program claim risk by encouraging relatively young, healthy Medicare enrollees to sign up for drug plans and begin ...

In the complaint, multiple plaintiffs across California detail their own (or their child’s) struggle to find accessible care.

Senate Democrats predict that the firms would earn "significant profits" from administering new and expanded health accounts.

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.

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.

Lawyers at White & Case, the firm that represented ACS, estimated in an announcement of the verdict that the total size of the judgment will be $6 million. What it means: Many health care providers, ...

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 ...

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

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

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

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 ...

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.