Health Care Reform

Industry observers say long-standing trends like hospital consolidation and rising health care costs contribute to the disputes, and Trump administration policies could make them more frequent as hospitals brace for about $1 trillion in cuts to federal health care spending as part of President Donald Trump's sweeping budget law.

Axos Bank says it lost the money when an OptumInsight employee set up a scheme based on fraudulent accounts receivable.

U.S. employers may have been a little more likely to use self-insured health plans in 2024 and a lot more likely to use stop-loss insurance to protect whatever self-insured plans they offered.

The lawsuit, filed earlier in August in a U.S. District Court in Arizona, claims that Radiology Partners has used arbitration as a "vehicle to obtain a windfall for its private equity investors."

Bill Cassidy, a Republican, cited "serious allegations" about the panel's legitimacy. The turmoil comes as funding fights loom.

The author recommends that benefits advisors take a broader, more dynamic approach to coverage design.