The new campaign shows the system as the "fox guarding the hen house."

Only 33% of the doctors surveyed by the American Medical Association agreed that a voluntary federal effort to improve the reviews will help.

The Patients Before Monopolies Act bill has returned with a bipartisan list of supporters in both the House and the Senate.

An analyst with influence over House Republicans is recommending that as a way to increase competition.

California is trying to apply its new law to PBM efforts to serve self-insured employer health plans, as well as to PBM efforts to serve health insurers and government-run plans, such as public employee health plans.

U.S. Chief District Judge Richard Seeborg ruled last week that the courts should use North Carolina law when reviewing a worker's long-term disability insurance claim, not California law, because the insurer, Life Insurance Company of North America, made it clear that North Carolina law should apply.

For the government, the cost of an employer plan enrollee is about 37% of the cost of a Medicaid enrollee.

A new draft regulation would let employers offer the coverage through excepted benefits products.