Health Care Reform

Behavioral health startup Octave, which aims to expand access and reduce costs, plans to fill the large unmet need for in-network behavioral health services, including adult individual, couples and family therapy with virtual and in-person services.

A proposed class-action lawsuit alleging that Cigna overcharged members for medical equipment will not be allowed to proceed, a federal judge in Connecticut has ruled.

Hospital outpatient departments are in line for a Medicare rate increase in 2024, but program payments for doctors could decline, according to proposed new policies from the Centers for Medicare and Medicaid Services.

In recent months ominous ads about prescription drugs have flooded the TV airwaves - and Congress is paying attention: House and Senate members have launched nine bills that take aim at pharmacy benefit managers.

Through the new Caremark Cost Saver program, eligible CVS Caremark commercially insured members will have access to GoodRx's prescription pricing on generic medications starting January 1, 2024.

Health insurers and medical providers are battling over who should supply high-cost infusion drugs for patients, while some insurers are bypassing hospital pharmacies and physician offices and instead sending more complex drugs through third-party pharmacies.