Employee-Paid

The plan says it could have received $1.4 million from its stop-loss carrier if the notice earlier had arrived earlier.

The in-network denial rate ranged from 3% to 36%, with significant variation by insurer and state. Three percent of reporting insurers had in-network denial rates of 30% or higher in 2024, a decrease from 17% in 2023.

New KFF survey results suggest the total could fall below exchange managers' 17.7 million forecast.

The state has filed a complaint in the U.S. District Court for the District of Rhode Island that accuses the PBMs of violating the federal Deceptive Trade Practices Act.

More than 50% of HealthCare.gov users will pay less than $50 per month for coverage.

Giving workers cash for coverage creates flexibility, and complexity.