Health Care Reform

The ruling underscores an escalating legal fight over who controls out-of-network reimbursement decisions.

Clear plan communications and careful provider network management may help.

New final federal regulations will also require plans and insurers to answer questions related to eligibility within five days.

The U.S. Preventive Services Task Force helps determine which screenings and preventive services insurers must cover without cost-sharing under the Affordable Care Act.

The direct-to-consumer pharmacy worked best when patients faced cost-sharing bills over $15 for a generic drug.

CVS Health serves nearly 1.5 million Tennessee residents through 136 pharmacy locations, the company said.