Plan sponsors could spend $905 billion, or $9,627 per enrollee.

The team told the doctors in the UnitedHealthcare commercial plan networks that it will put tight limits on allergy testing ...

The state's attorney general seeks documents on reimbursement rates, patient steering and pharmacy contracts as scrutiny of ...

The legal wrangling began in 2019, when the hospital alleged that Kaiser Permanente underpaid for emergency medical services ...

"When technology is built on trust, health care can finally move as fast as we do," said Dr. Sophia Saleem, chief health ...

The current system weakens the ability of provider networks to control costs, benefits groups say.

The physician sued after explanation-of-benefits notices indicated that he was not licensed to practice medicine.

Allison De Paoli, our newly crowned BenefitsPRO 2026 Advisor of the Year, discusses everything from quality care versus expensive care to direct primary care models to employee communication and the ...

What You Need To Know Republicans and Democrats on the House Energy & Commerce Health Subcommittee joined to back 15 bills by voice votes. One bill would set standards for hospital price files. A ...

More than 8 in 10 employers are interested in using artificial intelligence to help workers better understand their benefits.

Across the country, employees are technically insured but functionally unable to afford care. Deductibles and out‐of‐pocket maximums have climbed far faster than wages, and many families don't have ...