Core and Group Health

The average determination took 91 days and cost $445, and providers won 80% of the time.

For employers, clarity does not guarantee lower costs. But it does guarantee something just as important: the ability to see what is really happening, and to negotiate from a position grounded in reality.

The defendants used "unfair, deceptive and unlawful" business practices to conduct a text message campaign last year against proposed legislation that would regulate PBMs, one lawsuit alleged.

Regulators claim the hospital system blocks insurers from offering lower-cost, innovative health plans.

The agentic assistant can book appointments, explain lab test results and manage medications.

Commercial payers' "allowed amounts" for emergency room facilities increased 5.8% between 2019 and 2021.