Core and Group Health

The article argues that, given the federal government's endorsement of RBP and its proven efficacy in reducing employer costs and expanding participant options, it is now virtually impossible for a plan fiduciary to lawfully discharge their duties in accordance with ERISA without at least considering the implementation of RBP.

Minutes after a Texas federal judge blocked the decades-old approval of mifepristone on Friday, a federal judge in Washington reached the opposite conclusion: The abortion pill should remain available.

Survey respondents say they need more clarity on coverage, adding that remote work and screen time have a negative impact on their eyes.

Employers, brokers and TPAs need to calibrate their expectations for how Humira biosimilars will impact the cost of prescription drugs for groups and members.

Many insurers are offering smaller networks of doctors and hospitals, and problems arise when patients cannot find local in-network providers and must pay more for out-of-network care or travel farther for in-network care.

About half of all patients are getting hit with facility fees, which are billed for doctor visits at hospital-owned clinics, as three in four physicians are now employed by hospitals, health systems or other corporate entities.