News
Elevance Health pays $342 M to settle overbilling allegations
12+ hour, 23+ min ago (21+ words) Benefits PRO Elevance Health pays $342 M to settle overbilling allegations More From HR Executive...
Aetna sued by Kansas over alleged False Claims Act violations
23+ hour, 3+ min ago (75+ words) Benefits PRO Aetna sued by Kansas over alleged False Claims Act violations What You Need To Know - Kansas alleges Aetna keeps a portion of the false savings obtained by underpaying providers. - The state also alleges the TPA uses funds from…...
Employer health premiums will rise almost 5% in 2027, forecasters predict
1+ day, 20+ hour ago (61+ words) Benefits PRO Employer health premiums will rise almost 5% in 2027, forecasters predict What You Need To Know - The most recent figures based on actual data are for 2024. - In 2024, employers spent spent $753 billion on health benefits. - In 2034, employer spending on health benefits…...
Elder care is quietly draining employee productivity and savings
5+ day, 19+ hour ago (234+ words) More than half of survey respondents caring for a parent spent $5, 000 or more of their own money on such care in the past year. Since 2022, elder care-related requests for legal assistance to Legal Shield provider firms have more than doubled,…...
Group health insurance broker comp is shrinking, analysts tell Congress
6+ day, 20+ hour ago (548+ words) Employers' health benefits agents, brokers and consultants may be generating less compensation from health insurance sales than they used to, at a time when Medicare Advantage plan producers' revenue is soaring. The U. S. Congress Joint Economic Committee put figures supporting that…...
Aetna accuses physician of inflating claims by more than $50 M
2+ week, 6+ day ago (66+ words) Benefits PRO Aetna accuses physician of inflating claims by more than $50 M What You Need To Know - A surgeon and his wife ran in-network surgery centers. - Aetna says the defendants arranged to provide many services at out-of-network entities. - The out-of-network…...
United Healthcare hit with $100 M lawsuit over senior care plan payments
4+ week, 1+ day ago (25+ words) Benefits PRO United Healthcare hit with $100 M lawsuit over senior care plan payments More From HR Executive...
Premium, deductible cost increases contribute to health plan satisfaction
4+ week, 1+ day ago (383+ words) Benefits PRO Premium, deductible cost increases contribute to health plan satisfaction Member satisfaction with commercial health plans has remained unchanged over the past three years despite significant investments by plans in new digital tools and improved customer engagement. "By and…...
Mark Cuban's Cost Plus Drugs often beats employer plan cost-sharing amounts
1+ mon, 4+ day ago (456+ words) The Mark Cuban Cost Plus Drug Company pharmacy often charges prices for prescription drugs that are lower than employer plan cost-sharing requirements for those drugs, according to a new peer-reviewed research paper. Dr. John Lin, a researcher at the University…...
Health plans hit No Surprises Act dispute resolution system in new TV attack ads
1+ mon, 2+ week ago (71+ words) Benefits PRO Health plans hit No Surprises Act dispute resolution system in new TV attack ads What You Need To Know - The new coalition includes groups like AHIP, ERIC, NABIP and the Purchaser Business Group on Health. - The new ad…...