One beneficial change the Affordable Care Act brought about was the complete coverage of preventative care. With all approved insurance plans and Marketplace plans, several preventative services such as shots and screenings are provided at no cost to the policyholder....
One of the country’s largest health insurers has sued a number of pharmaceutical companies, accusing them of running a price-fixing cartel of common generic drugs. Humana Inc. has accused the companies of colluding on the prices of generics to the detriment of health...
Mike Hill, principal at Total Control Health Plans, talks about companies who are taking control to manage their own healthcare supply chain in the WHCC TV Studio with Mabel Jong (@mabeljong) at the 16th...
Starting Jan. 1, 2020, employers can establish accounts for their employees to help them pay for individual health insurance policies they purchase, as well as for other health care expenses. A new regulation expands on how health reimbursement accounts can be used....
In a move that exemplifies the potential conflict of interest that some large pharmacy benefit managers have, the nation’s largest PBM earlier this year said it would demand that rebates remain unchanged when drug makers roll out new price cuts. Drug makers earlier in...
The Trump administration on Nov. 15 announced two rules that would require more transparency in hospital pricing and health insurance out-of-pocket costs for enrollees. The final rule on hospital pricing will require hospitals to publish their standard fees both...
There are typically two approaches to securing health coverage for your staff – group health insurance or self-funding. Self-funding, however, can be costly and risky and is usually only done by larger organizations with thousands of employees. But there is a hybrid...
A new study has found that the average annual premium for a group family health plan has exceeded $20,000 for the first time in 2019, up 5% from 2018. The average premium for single coverage plans in 2019 is $7,188, up 4% from the year prior, according to the Kaiser...
The much-maligned “Cadillac tax,” which was supposed to be implemented as a tax on high-value group health plans with premiums above a certain level, may finally be seeing the end of the road. Already the implementation of the tax, which was created by the passage of...
There are typically two approaches to securing health coverage for your staff – group health insurance or self-funding. Self-funding, however, can be costly and risky and is usually only done by larger organizations with thousands of employees. But there is a hybrid...