Core and Group Health

NABIP would like to see state regulators set standard definitions for level-funded plan contract terms such as "administrative" and "stop-loss".

The regulators have decided to keep non-regulators out of the PBM handbook chapter drafting process.

“This is the largest rate change insurers have requested since 2018, the last time that policy uncertainty contributed to sharp premium increases,” the report said.

Many veterans live hours from VA facilities, or they need health services that aren’t readily available from the VA. In such cases, the department is supposed to provide a referral and pay for private care. Critics say it often hesitates to do so.

Oscar Health will start by organizing a big cash-for-coverage plan push in Des Moines.

The CEO says the company will "focus on the discipline of margin improvement over any type of premium growth."