Consumer Driven Health Care

Conflicts arise when insurers send checks to pay for out-of-network medical services to patients rather than reimbursing a medical provider directly.

A panel of licensed health care professionals preferred ChatGPT's responses nearly 80% of the time and rated the chatbot's responses as higher quality and more empathetic, in a new JAMA study.

Whether it's planning for future health care needs or managing medical expenses, a higher number of workers with high deductible health plans are opening health savings accounts, according to Fidelity.

The insurer did not give an explanation for the reversal of coverage for a midwife, leaving a couple with no recourse after exhausting all processes within the claims processing, including a formal appeal, which was denied.

If we don't reflect on the root cause of our drug problem, we're going to have the same hand wringing conversation five or 10 years from now, with a different set of drug names.

For the fifth consecutive year, insurer participation increased to 303 participants at the state level on the health exchanges, though some of the larger insurtech plans paused operations in select states, says a new report.