Industry groups representing hospitals and health systems across the nation sued HHS last year, challenging a rule that requires hospitals to disclose the rates they negotiate with insurers beginning in 2021. On June 23, a federal judge granted HHS' motion for summary judgement. Under a final...

Many organizations are recalibrating employee benefits programs as they adapt to the health care crisis and economic turmoil resulting from the coronavirus pandemic. The higher cost of providing medical services to COVID-19 patients will likely be offset by reductions in elective procedures during the crisis, benefits...

Ed Day discusses the healthcare and benefits market in general with Michael Andrade of the Solving Healthcare podcast. The discussion provides a good overview of HST and details of services, strategies and results. Listen to the Podcast - click here...

The use of reference-based pricing (RBP) to pay for the health care services has been growing over the last decade. This article discusses how RBP approaches have changed and improved over time, helping plan sponsors negotiate better prices for health care services. The term reference-based pricing...

Physicians, hospitals and medical labs are grappling with the rise in high-deductible insurance. (Bloomberg) — Doctors, hospitals and medical labs used to be concerned about patients who didn’t have insurance not paying their bills. Now they’re scrambling to get paid by the ones who do have...