Consumer Driven Health Care

“In today’s competitive market, employers are seeking to balance employees’ benefits expectations with escalating costs,” according to the 2025 Benefit Plan Trends Survey from USI.

Aetna and Optum have finalized a nearly $8.4 million settlement in a class-action lawsuit that has been litigated for almost a decade.

A class-action lawsuit was filed last week against CVS Caremark in the Southern District of New York over its decision to replace Eli Lilly’s popular GLP-1 weight-loss drug Zepbound with Wegovy from Novo Nordisk.

If health care payers are going to make good on their recent commitment to accelerate decision timelines, increase transparency and expand access to affordable, quality care, they are going to need to infuse their utilization management operations with powerful AI tools.

Currently, the U.S. health care system has high rates of health spending and poor health outcomes, relative to other countries.

Criticism of Robert F. Kennedy Jr., secretary of Health and Human Services, is growing in the wake of contentious congressional hearings about vaccine policy and staff upheaval at the Centers for Disease Control and Prevention.