Consumer Driven Health Care

With the public health emergency expiring and much of the access to care coming to an end, sponsors need to make strategic plans and respond quickly and decisively to be able to succeed in the new environment, says a new report.

The health insurer breached its contract and sought to unilaterally reduce its reimbursement rates to Envision, a company that staffs doctors in emergency rooms, according to an agreement by an arbitration panel.

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.

The new ChatGPT technology might help lighten administrative burdens but few in health care believe the latest form of AI is about to take their jobs (though some companies are experimenting with chatbots that act as guides to care).

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.