Insurers, hospitals and state regulators are wary of the CMS ending "silver-loading" on Affordable Care Act plans.
A federal jury decided Tuesday that insurer Blue Shield of California underpaid a California hospital system for emergency medical services provided to Blue Shield's members.
A federal judge is set to decide how much flexibility insurers that administer self-insured health plans have in limiting coverage for treatment of mental health and substance use disorders.
The Utah Legislature passed a bill to partially expand Medicaid, and that may encourage other states to seek similar scaled-back expansions with full federal funding.
Pharmacy benefit managers could face new transparency requirements over fees they negotiate with drugmakers if a new rebate rule is approved.