As 2023 closes out, advisors and other benefits professionals are sorting through the implications of a recent maze of health reform measures as the U.S. system continues to struggle along.

People who identify as LGBT are nearly twice as likely to experience denied claims compared to other consumers (30% vs. 17%).

Health coverage of working-age adults increased significantly in the Northeast, South and West, although increases varied by age and employment status, according to the latest Census Bureau report.

Just weeks after a federal judge dismissed an ERISA lawsuit against the company over allegations of excessive fees, another employee suit has been filed, claiming the 401(k) plan offered funds that performed worse than alternatives.

All the manufacturers of the first 10 prescription drugs selected for Medicare price negotiations agreed to participate by the Oct. 1 deadline, however, the process could be complicated by lawsuits filed by all of these drugmakers.

The agreements settle whistleblower lawsuits that the Department of Justice joined, alleging the insurer submitted false diagnosis codes to artificially inflate its payments from the Medicare Advantage program.

Six in 10 clinicians believe AI can help with decision-making, however, 55% said it is not yet ready for medical use, and for those with 16-plus years of experience, the skepticism level was even higher, says a new survey.

Aggregate stop-loss coverage is most prevalent in conjunction with individual stop-loss deductibles of $250,000 or less.