Core and Group Health

Three labs first sued Cigna, alleging $32 million in unpaid claims. But a countersuit accuses the labs of fraudulent billing.

Harvard researchers examined how the added cost of time and decision-making create barriers to retaining insurance coverage.

Only 15% of the physicians said they believe that health insurers' prior authorization criteria are based on evidence-based medicine.

Researchers found that for $1,646 saved on lower-acuity emergency department visits $6,327 was spent in urgent care center costs.

An important role for benefits brokers is helping their clients navigate this new world. For many brokers, this will mean expanding their product portfolio, as employers will be adding more voluntary benefits, such as financial well-being options, to their offerings.

As health care costs have grown, so has the value of treatment outcomes, but some areas more than others.