The lawsuit alleges Cigna’s “procedure-to-diagnosis,” or PxDx software, reviewed and denied customer claims in batches without a medical professional reviewing those decisions.
As the new law rolls out, some plan sponsors are questioning whether the government’s capabilities to negotiate with Medicare on lower drug prices could prompt manufacturers to increase medication costs for employer plans.
The Consumer Financial Protection Bureau is developing rules to bar unpaid medical bills from affecting patients’ credit scores, however, industry leaders are questioning why medical providers are being singled out in their billing.
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