Consumer Driven Health Care

Leqembi - among the most potent of a new generation of antibodies that help clear a toxic protein that slowly builds up in the brains of Alzheimer's patients - is expected to lead to far greater coverage by insurers and Medicare.

Looking for an at-home HIV or Plan B test on CVS' website is not as private an experience as one might think, and CVS is not the only pharmacy sharing this kind of sensitive health data, according to a KFF Health News investigation.

Following lawsuits filed by Merck, Bristol Myers Squibb, PhRMA and the US Chamber of Commerce challenging the drug price negotiation plan, the CMS revised its guidance, allowing drug companies to publicly discuss the talks.

The food and beverage company alleges that Aetna, which took more than $1.3 billion from Kraft Heinz since 2012 to pay providers for medical services, treats its expenses with less diligence because its health costs are self-funded.

Ballad Health sued more than 6,700 patients over medical debt in 2018, according to The New York Times. Did they make "reasonable efforts" to collect payment, as the ACA requires?

Given the various proposed legislation for PBM reform, benefits brokers would be well served to be fully aware of the changes, be able to explain how they might affect their clients, and in the best-case scenario, be prepared to offer recommendations for plan changes and employee communication.