Employer-Paid

More than 600,000 have already lost coverage since pandemic protections ended on April 1 and about 15 million people will be dropped over the next year in the "Medicaid unwinding," as states review participants' eligibility.

The Centers for Medicare & Medicaid Services' new initiative will focus on primary care organizations, especially in rural areas, with limited experience in alternative payment models to help set up infrastructure.

A new study diagnoses the current health of the U.S., revealing which states have taken great strides in reducing health risks—and which ones have a little farther to go.

As the new law rolls out, some plan sponsors are questioning whether the government's capabilities to negotiate with Medicare on lower drug prices could prompt manufacturers to increase medication costs for employer plans.

Insurers appear increasingly likely to employ computer algorithms or people with little relevant experience to issue rapid-fire denials of claims — sometimes bundles at a time — without reviewing the patient's medical chart.

On Tuesday, an appeals court weighed lifting freeze on Affordable Care Act's preventive health services mandate nationwide in a case most likely headed to the Supreme Court.