Health Care Reform

Whether customers are actually poised to benefit from the wave of health care consolidation is the key question for antitrust enforcers.

The company will be taking a closer look at hospitals' high-level claims and making more denials or downward adjustments.

Currently, ACA plans are limited to a 3:1 price difference based on age. A new proposal would change that to 5:1.

People in high-deductible plans who buy drugs with big rebates will get the greatest savings from the move.

The FDA commissioner aimed particular criticism at giant pharmacy benefit managers for their role in hindering access to less-expensive versions of high-cost drugs.

A fraud fighter says the DOL has a bad track record when it comes to shutting down fake plans.