Cost-Containment

Fiduciary responsibility suits could push them to copy how Medicare Advantage managers handled Aetna's billing.

A union health plan is suing in federal court and hopes to represent a class that will include self-insured employer plans.

Outpatient hiring outpaces hospitals as flexible, tech-enabled facilities will anchor the next generation of care.

"Current economic conditions mean employers are under immense pressure to manage costs while remaining invested in employee wellbeing at a time when their workforce is also stressed," said Todd Katz, head of U.S. Group Benefits at MetLife.

"Their criminal scheme endangered vulnerable patients, put entire communities at risk and undermined the integrity of Medicare and Medicaid," said Scott J. Lambert, acting inspector general for investigations for the U.S. Department of Health and Human Services, Office of Inspector General.

The author has a four-step plan for employers that want to build strong vaccination outreach programs.