According to a HHS audit, medical records provided by the health insurer didn't support certain diagnosis codes, similarly to Cigna's lawsuit culminating in the insurer's agreement last week to pay $172 million to resolve allegations.

Pharmacists at Walgreens in four states staged a walkout on Monday, citing increasing staffing shortages and job duties, just weeks after CVS pharmacists walked off the job because of similar working conditions.

Ready or not, artificial intelligence has arrived and is a "really powerful tool that takes large bodies of text and information and creates a knowledge base," according to a recent National Institute on Retirement Security webinar.

As 2023 closes out, advisors and other benefits professionals are sorting through the implications of a recent maze of health reform measures as the U.S. system continues to struggle along.

People who identify as LGBT are nearly twice as likely to experience denied claims compared to other consumers (30% vs. 17%).

Health coverage of working-age adults increased significantly in the Northeast, South and West, although increases varied by age and employment status, according to the latest Census Bureau report.

Just weeks after a federal judge dismissed an ERISA lawsuit against the company over allegations of excessive fees, another employee suit has been filed, claiming the 401(k) plan offered funds that performed worse than alternatives.

All the manufacturers of the first 10 prescription drugs selected for Medicare price negotiations agreed to participate by the Oct. 1 deadline, however, the process could be complicated by lawsuits filed by all of these drugmakers.