Core and Group Health

A new House bill would apply the penalty to insurers that reject more than 25% of claims.

CenterWell Pharmacy (a part of Humana Inc.) announced plans to develop end-to-end employer prescription solutions with Cost Plus Drugs.

"Employees aren't disengaged because they don't care; instead it's because benefits are too hard to navigate," said Jonathan Porter, CEO of Castlight Health.

The GUARD Financial Data Act would have the most impact on information not covered by HIPAA.

One case involved a plan administrator that updated claim-processing systems for medical benefits but not for mental health benefits.

Decision support tools have helped, and now there's more focus on how AI-driven recommendation capabilities can build on that.