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Out-of-network price benchmarking through government regulation, competition with Medicare fee-for-service, and the fact that insurers actually bear risk in the MA market may drive down prices in MA.

Employers and third-party administrators must recognize the significant business risks associated with health plans that exclude gender-affirming care in today's post-Bostock environment.

The ERISA Industry Committee (ERIC), a national non-profit organization that represents the largest employers in the U.S., is calling on Congress to re-examine the premiums paid by companies that sponsor defined benefits (DB) plans.

The suit challenges the denial of insurance coverage for inpatient mental health treatment provided under the MLB Players Benefit Plan.

The software provider was accused of mismanaging its profit-sharing 401(k) plan and failing to fulfill its fiduciary duties by diversifying the plan's assets, which resulted in significant losses, according to the Labor Department.

A proposed class-action lawsuit alleging that Cigna overcharged members for medical equipment will not be allowed to proceed, a federal judge in Connecticut has ruled.

A second judge ruled the DOL's 5-part test to determine what defines "fiduciary" should be struck down, which was a victory for the Federation of Americans for Consumer Choice, an advocacy group for insurance distributors.

As some parts of the CAA come into clearer focus, other provisions will continue to be worked out in coming years.