Health Care Reform

Since 2013, Congress has voted 13 times to postpone billions in Medicaid funding cuts prescribed by the Affordable Care Act, siding with hospitals over their claims that losing the money would hinder the delivery of care.

There's an urgent need to educate nonprofit employers about alternative benefit solutions to group health insurance, like qualified small employer health reimbursement arrangements (QSEHRAs) that may be a much better fit, according to a new report.

The Biden administration on Tuesday proposed to reinforce the 2008 Mental Health Parity and Addiction Equity Act that requires insurers to cover mental health benefits to the same degree as medical and surgical benefits.

For the health system to endure, physician groups and hospital systems might look more closely at the bills they send patients and the collection tactics they use or health insurers might reconsider the HDHPs they sell.

The Federal Trade Commission changed course on previous statements opposing state legislation that would boost transparency over pharmacy benefit managers, as it carries out a sweeping investigation into the industry.

Coverage of Ozempic and Wegovy could conservatively drive employer spend up by 25% annually, so to give the new drugs the best opportunity to have the best effect, employers must think comprehensively and long-term.