Sutter Health to Pay $30M in Medicare Advantage Settlement
Sutter Health, a California-based, non-profit benefit organization, has agreed to pay $30 million to settle allegations that its affiliated entities submitted false information about the health status...Small Business Health Plan Premiums Have Increased by 5% Since 2015
Average health insurance premiums and individual deductibles for small business health plans have both increased since 2015, which may contribute to employers and employees’ concerns about...North Dakota to Implement Reinsurance for Health Insurance Market
North Dakota Governor Doug Burgum has signed a bill that will establish a reinsurance pool for the state’s individual health insurance market. The North Dakota House of Representatives passed...FTC Charges Surescripts with Monopolizing e-Prescribing Market
The Federal Trade Commission (FTC) is suing Surescripts, alleging that the health information exchange company is using illegal vertical and horizontal restraints to maintain its monopoly over two key...Large Employers to Average $3.6M on Wellness Programs in 2019
Large employers across the country are expected to spend an average of $3.6 million on wellness programs in 2019 to support a healthier and more productive workforce, according to a survey from...Short-Term Wellness Programs Not Impacting Healthcare Costs
Short-term wellness programs prove useful in promoting positive health behaviors among employees, but these programs are failing to have a positive effect on healthcare costs, according to a study...Humana Launches Value-Based Care Oncology Program for MA Members
Humana is launching a new value-based care oncology program designed to deliver integrated cancer care for Humana Medicare Advantage and commercial members. The national Oncology Model of Care (OMOC)...Cigna, Express Scripts Partner to Cut Out-of-Pocket Insulin Costs
Cigna and Express Scripts have launched a program to reduce out-of-pocket insulin costs for patients with diabetes. The Patient Assurance Program will ensure eligible people with diabetes in...Prevalence of Balance Bills Varies by State, Medical Specialty
Certain states and medical specialties account for larger shares of out-of-network claims and balance bills for inpatient hospital admissions, according to a study conducted by the Health Care Cost...Sponsored Article
