Healthcare.gov marketplace insurers denied 18% of all claims submitted for in-network services in 2020. The reasons why, however, remain mostly unclear.

Only spending on skilled nursing facilities, Part B drugs, and hospice increased.

The goal of the FTC investigation is to scrutinize the impact of vertically integrated PBMs on access and affordability of prescription drugs.

A landmark ruling involving a veteran sheriff's deputy in Georgia states employers must include gender-affirming medical care in their health insurance coverage or face federal charges.

Bill aims to help communities avoid being "held hostage to high prices" by having essentially only one hospital system.

The bipartisan Pharmacy Benefit Manager Transparency Act of 2022 would empower FTC to hold PBMs accountable.

A new survey also suggests almost half are financially unprepared to miss work for three months.

Experts predict more than 12 million surprise bills will be avoided throughout 2022.