Healthcare reform

Defining alignment and value are key for employers to improve their health and care experience.

Traditional PBMs shroud their compensation and drug costs.

Employer and insurance groups say they plan to work with the future president’s plans to improve healthcare delivery.

Whether or not the ACA is upheld will determine the future of healthcare.

Without a Democratic majority in the Senate, Biden as president could not likely advance many of his top health agenda items — including lowering the eligibility age for Medicare to 60 and expanding financial assistance for health insurance under the Affordable Care Act.

David Hines, the 2020 Healthcare Benny Award winner, helped school employees pay zero out-of-pocket costs to have a baby.

Ginsburg’s death throws an already chaotic general election campaign during a pandemic into more turmoil. But in the longer term, her absence from the bench could accelerate a trend underway to get cases to the Supreme Court toward invalidating the ACA and rolling back reproductive freedoms for women.

The insurance company partnered with Covera Health to prevent misdiagnosis and unnecessary surgeries.

“The mental health crisis has been growing, getting worse,” says National Alliance CEO Michael Thompson.

Big businesses most likely fear big Medicare expansion in large part because it would lead to a significant tax increase. But looking at any tax increase as an enemy is a mistake.

Industry groups have long advocated for a change that will allow employees with HDHPs to use health savings accounts to cover prescriptions.

While the finalized regulation makes health reimbursement arrangements more accessible, employers should still continue to boost healthcare literacy, experts say.

Medicare for all would require several new taxes to raise money, but some employers say such a plan would mean savings for their company and employees.

This move addresses “the absolute lowest hanging fruit” when it comes to fixing the health insurance market, one expert says.

As Congress weighs how to address the problem, here’s a guide to the bills and what to watch.

Employers, a once-a-year checkup can go a long way in evaluating your existing health plan to ensure the plan’s strategy is in alignment with yours.

“Even single-payer systems around the globe vary from each other in many, many ways,” an expert who helped draft the Affordable Care Act says.

Getting rid of the ACA could roll back requirements for employer health plans, end subsidies for millions of people and eliminate expanded Medicaid coverage.