Consumer Driven Health Care

HCA, whose data breach may have impacted 11 million patients, is among several health care companies that have recently suffered such attacks, prompting the FBI and Secret Service to issue warnings to potential targets.

A federal appeals court has ruled that pharmacy benefit managers are subject to ERISA, thereby PBMs working for state plans with rural employees must include brick-and-mortar pharmacies as well as mail-order pharmacies.

The sudden move comes as the retailer, which just announced it will soon roll out new care options normally only available at a doctor's office, is aiming to position itself more as a health care company than a pharmacy chain.

Employers account for more than $1 trillion in health care spending annually, which is why they should create an information ecosystem to access provider quality information, says a new report.

The Centers for Medicare & Medicaid Services sent a letter to Medicaid directors in all 50 states, requiring them to determine whether they have an eligibility systems issue that could cause children to be dis-enrolled from Medicaid.

Employers, benefit advisors and brokers need to consider that these restrictions can hinder patient access to the treatments their clinicians prescribe and worsen their outcomes while increasing health care costs, says a new study.