OptumRx has used automated systems to try to encourage patients to follow their doctors' health advice, in an effort to reduce the impact of patients' ineffective use of prescribed medications.

The Elevance unit's commercial plans may deduct the penalty from their allowed amounts for claims that involve the use of out-of-network providers.

The California insurer posted a profit, but its concerns could raise questions about ICHRA plans.

Cuban told senators on Wednesday that he thinks price transparency is critical to helping employers bring down the cost of health benefits.

Officials say the move will help them overcome the impact of medical underwriting in the group health market.

Officials have accused Aliera and affiliated health care cost-sharing ministries of using just 16% of contributions to pay for care.

In one of the 52 directories investigators checked, only 3 of the 356 network providers listed were active.

Claims have been high, but within expectations, without the drama the insurer is seeing in some other markets.