Consumer Driven Health Care

Value-based payment reforms have generated more than $17 billion in gross savings for Medicare over the past decade, wrote 12 health care organizations in an open letter to the 118th Congress.

The Justice Department intervened in a case against Cigna and plans to continue to litigate other cases against Elevance Health, UnitedHealth Group and Kaiser Permanente.

In an effort to meet the needs of their employees and improve worker health, employers are taking a close look at the value and cost savings their vendors promise and are ready to make changes as needed, says a new survey.

If half of adults get COVID boosters at the new, higher prices, insurers, employers, and other payors would shell out $12.4 billion to $14.8 billion a year, a recent KFF report estimated.

Mental health benefits are not one-size-fits-all, so employers need to be proactive about the support they provide and continuously survey employees about the kind of support needed, say experts.

Four in 10 adults living in states with full abortion bans are aware that medication abortion is illegal in their state.

The complex health care fraud scheme involved billing for medically unnecessary tests and the payment of kickbacks to physicians in exchange for tests ordered by Labcorp, who denies all allegations.

"One of the key arguments for hospital mergers and practice acquisition was that health systems would deliver better-value care for patients," Nancy Beaulieu says.