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The whistleblower, Amy Vermillion, "brought a case [the government] never would have known about, [and the defendants] would have continued the fraud if it wasn't for her bringing this forward," said her lawyer, Mike Bothwell.

Ford Motor Co., which paid $500 million in premiums to BCBS, alleges it was "overcharged" for health insurance in a new lawsuit that's related to the $2.7 billion antitrust settlement that BCBS and member companies reached in 2020.

In 2016, health insurers sued the federal government to recover $12.6 billion in over-the-threshold payments for the ACA program that was created to incentivize them to participate in state health exchanges.

For the fifth consecutive year, insurer participation increased to 303 participants at the state level on the health exchanges, though some of the larger insurtech plans paused operations in select states, says a new report.

Even though the changes at the end of the emergency periods may fly under the radar for most employees, the industry experts said communicating the changes is important.

With 10%-15% of health care costs spent on prescription drugs, it's important to understand the real cost impact of rebates.

Premiums across the different tiers of ACA plans (referred to platinum, gold, silver, bronze, and catastrophic — from highest levels of coverage to lowest), increased in 2023.

For benefits professionals, administering employer sponsored health plans and providing employee participants with access to affordable, quality health care is one of the greatest economic challenges of today — and the foreseeable future.