Employee-Paid

Joe Shields, the CEO of Transparency-Rx, recently told federal regulators that the giants have many ways to shut his members out.

Drafters are seeking comments on a paper that could help shape states' procedures.

At an insurer for employers' self-insured plans, early 2025 claims are in line with expectations.

NABIP would like to see state regulators set standard definitions for level-funded plan contract terms such as "administrative" and "stop-loss".

The regulators have decided to keep non-regulators out of the PBM handbook chapter drafting process.

Oscar Health will start by organizing a big cash-for-coverage plan push in Des Moines.