Officials accused UMR, a UnitedHealth TPA, of basing ER claim decisions on diagnosis codes rather than symptoms.

The group also dislikes provisions in contracts between payers and health systems that may hurt competition.

Ken Paxton's opinion puts Texas on a collision course with employer groups that say ERISA should shield the plans from the state rules.

The Senate Health, Education, Labor and Pensions Committee is supposed to find $1 billion in spending cuts and revenue increases.

Executives at Principal Financial see higher claims and tough price competition.

A failed system implementation hurt efforts to get brokers interested in Aflac's dental plans last quarter, and that hurt sales of other products, an executive said.

The bill has been coming around since 2015, but it now appears to have a much better chance of becoming law.

Confirmation of Lori Chavez-DeRemer, who previously served in the House, could pave the way for action on PBMs and mental health benefits.