Health Care Reform

The legal wrangling began in 2019, when the hospital alleged that Kaiser Permanente underpaid for emergency medical services provided to its members after the two organizations terminated their formal provider contract four years earlier.

Republicans and Democrats on the House Energy & Commerce Health Subcommittee joined Thursday to approve a total of 15 health care bills by voice votes.

A physician sued after explanation-of-benefits notices indicated that he was not licensed to practice medicine.

Allison De Paoli, our newly crowned BenefitsPRO 2026 Advisor of the Year, discusses everything from quality care versus expensive care to direct primary care models to employee communication and the future of the benefits industry.

Federal prosecutors at the U.S. Justice Department have included a case involving a heart health screening program for student athletes in the department's latest "health care fraud takedown" announcement.

"Instead of reining in bad actors or addressing spiraling costs, emerging state proposals all too often loosen arbitration standards for providers or restrict private sector efforts to curb unnecessary arbitration and irresponsible billing practices," Dillon Clair, director of state advocacy at ERIC, wrote in a letter to the National Council of Insurance Legislators.