The Department of Health and Human Services has released the 2020 cost-sharing limits for non-grandfathered plans that comply with the Affordable Care Act. HHS is charged with setting the premium adjustment percentage, and it changed the formula for calculating...
A new report by Sun Life Insurance Co. highlights the top high-cost claim conditions that plague the U.S. health care system and account for more than half of all catastrophic or unpredictable claims costs. The top 10 costliest claim conditions comprised over half...
The IRS has announced new health savings account contribution maximums for the 2020 health insurance plan year. Employees who have an HSA linked to a high-deductible health plan (HDHP) will be able to contribute to their HSA up to a certain level to help pay for...
The heat is growing on the pharmaceutical industry after more than 40 US states filed a lawsuit accusing generic drug makers of engaging in a massive price-fixing scheme. The lawsuit accuses 20 companies of conspiring to fix prices of more than 100 generic drugs,...
As more people struggle with their medical bills, Congress has been introducing a raft of new legislation aimed at cutting costs and making pricing more transparent. The multi-pronged, bipartisan effort targets the lack of transparency in pricing particularly for...
While most businesses rarely get rebate checks from their group health insurer, this year may be different as insurance companies are expected to pay back record excess premiums, as required by the Affordable Care Act. The landmark insurance law requires that insurers...
The Trump administration has issued new rules that would allow employers to provide workers with funds in health reimbursement accounts (HRAs) that can be used to purchase health insurance on the individual market. The rule reverses a long-standing part of the...
The stakes for the future of the Affordable Care Act just got higher after the U.S. Department of Justice filed a brief with a federal appeals court to strike down every facet of the landmark legislation. The DOJ’s filing in the case states that the law is...
A federal judge has rejected the Trump administration’s rules for association plans, saying they are an attempt to allow employers to skirt their obligations under the Affordable Care Act. The rules that the Department of Labor finalized last year allow employers to...
Read Mark Sanchez's full article here. Excerpt from article: "Direct contracting between employers and so-called “centers of excellence” that excel in medical specialties such as cancer or cardiovascular disease increased to 18 percent last year from 12 percent in...