If you want to make meaningful changes in an employer health plan, you have to be willing to do something that will actually change the way the system is functionally working instead of just cycling through carrier solutions.

Amputations led to some of the most expensive claims, costing nearly five times the average, followed by electric shock and multiple trauma injuries.

Two Midwestern hospitals violated federal law by denying an abortion to a woman who experienced a medical emergency while pregnant, according to the Centers for Medicare & Medicaid Services.

A Senate panel advanced four bills aimed at reforming pharmacy benefit manager practices and improving generic drug competition, one day after the senators heard input from major PBM and pharma executives.

One group in particular, however, is significantly less satisfied than their counterparts.

Retirees this year received a record-high 8.7% cost-of-living adjustment in their benefits – the largest increase in four decades – however, next year may be less than half that percentage due to inflation, according to a new estimate.

"Moving ahead, enrollee cost sharing for COVID-19 tests in a clinical setting will depend on their health plan and where they receive a test," researchers say.

This is a significant rise from a year ago, as employees struggle with personal finances and mental health, according to a John Hancock Retirement report.