Consumer Driven Health Care

Stronger actions are needed immediately to thwart insurance brokers who fraudulently enroll or switch people in Obamacare coverage, wrote Senate Committee Chair Ron Wyden to CMS Administrator Chiquita Brooks-LaSure.

Although policy changes often lag a year or 2 behind trends, the gap suggests that there's a need for employers to address lingering effects of the pandemic and other issues affecting workers' mental well-being, says a new survey.

Benefits advisors play a crucial role in safeguarding the health and financial wellbeing of millions of Americans, making their role more vital than ever in the face of recent significant legal and economic challenges.

Obesity and excess weight were estimated to have cost U.S. businesses and employees $425.5 billion in 2023.

Pharmacy benefit manager Optum Rx plans to launch Clear Trend Guarantee in 2025 to allow employers and health insurers to more easily manage their drug spending, while creating more predictability for patients around costs.

The All-Payer Health Equity Approaches and Development (AHEAD) model includes additional support for primary care to assist with care management and health maintenance – areas where digital health tools would be invaluable.