The Learning Resources v. Trump opinion will affect regulators' efforts to do anything not explicitly described in federal laws.

The board of the National Association of Benefits and Insurance Professionals has announced plans to replace Jessica Brooks Woods as its chief executive officer. Susan Rider, NABIP's president, told ...

Eric Silverman explores the evolving world of "enhanced" benefits and why every employee offering deserves attention, not ...

Under the law, PBMs must allow any pharmacy to participate in their network and allow patients to use their pharmacy of choice.

DOL officials wanted PBMs to share the costs, but the new transparency mandate law prohibits PBMs from paying the auditors.

Product designers are trying to prepare for the possibility that more employers will drop traditional group plans.

"If North Carolina is any guide, such regulation can be effective at leveling the playing field between the fully insured and self-funded markets," an analyst at Georgetown University's Center for ...

Some other market players are too small to be comfortable with the size of the biggest claims, according to the company's CEO.

That company and four other big players overcame all of the negativity to generate about $180 billion in total revenue.

For the average older Americans taking 4.5 prescriptions a month, the annual cost of drug therapy would exceed $58,000. This amount is more than 30% higher than the median Medicare beneficiary income ...

EmblemHealth is also supposed to pay restitution to enrollees who paid for out-of-network behavioral health care and improve enrollees' access to behavioral health care providers.

The Health Information Sharing and Analysis Center identified 4,043 incidents across all sectors in the first half of 2025, followed by 4,860 incidents in the second half of the year.