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Because there currently is no standard fee schedule or uniform approach, calculating trauma activation fees is left to the discretion of each individual trauma center.

Compliance with the CAA is now top of mind for health plan sponsors that need to elevate their fiduciary responsibilities.

The escalating warfare over pricing, which stems from hospital price transparency regulations that have allowed hospitals to compare reimbursement rates with one another, can leave patients without continuity of coverage.

The National Alliance of Healthcare Purchaser Coalitions, which represents large employers that purchase health coverage, identifies and debunks top hospital inaccuracies around high, rapidly rising, prices, in a new report.

Over the last two years, a compliance tidal wave has loomed over employers and their benefit advisors. The crest of this massive wave has begun to touch down upon fiduciaries of employer groups, so how can benefit advisors stay dry?

The shortfall of generic drugs, which comprise the majority of medications that Americans consume, has been a chronic problem, starting well before the mid-2020s.

"While the nation is crippled with health care debt, while employers are spending more and more every single year, the reality is that revenue turns into profit for insurers," Lester Morales said.

Less than half of employers are confident in the integrity of health care services and fees charged by hospitals, pharmacy benefit managers, third-party administrators and even broker and consultants, says a new report.