Insurers, hospitals agree in telling CMS to keep 'silver-loading'
Insurers, hospitals and state regulators are wary of the CMS ending "silver-loading" on Affordable Care Act plans.
Private Plans
Blue Shield of Calif. 'drastically' underpaid for ER services, jury says
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.
Self-Insured Plans
Mental health coverage limits in self-insured plans hang on judge's ruling
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.
Uninsured
Other states likely to follow Utah's partial Medicaid expansion
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.
Premiums & Benefits
New transparency requirements, loss of safe harbor for PBMs and drugmakers in proposed rule
Pharmacy benefit managers could face new transparency requirements over fees they negotiate with drugmakers if a new rebate rule is approved.
Health Insurance Exchanges
Silver-loading complicates CSR lawsuits
Last week insurers notched additional wins in their fight against the Trump administration's cutoff of CSRs. But with policy changes coming to sort out silver-loading, experts predict a messy outcome.
