Health Care Reform

Here's a breakdown of several provisions of the One Big Beautiful Bill that will significantly reshape how benefits advisors guide clients on plan design, compliance and benefit strategy.

A 9th Circuit panel asked a district court to get more information about why a T-Mobile self-insured plan declined to cover an extra procedure.

The new numbers will affect what some employers owe if employees apply, and get, federal premium subsidies.

The firm sees the astonishingly high cost of "cellular, gene and RNA therapies" — high-tech treatments for conditions like sickle cell disease — as an emerging threat

Dealmaking increased employer plans' childbirth-related hospital bills 3.3% and physician services bills 15%.

The lawsuit said the union's health plan allowed coverage of Xenical to treat obesity but not newer products such as Wegovy or Zepbound. Nevertheless, since 2018, Optum Rx charged the union health plan $4,381,075 for 3,732 claims for uncovered weight-loss drugs, the plaintiffs alleged.