(Becker's Hospital Review) - Overall health care prices in Anchorage, Alaska and San Jose, Calif., are 65 percent above the national average, according to the Health Care Cost Institute. HCCI's Healthy Market Index considered more than 1.78 billion commercial claims and compared the average price paid...

Holding PBMs Accountable for Clinical Management by Kenneth B. Berry and Kristin Begley, Pharm.D. Drug plan sponsors can lower drug spending and improve member outcomes by working with pharmacy benefit managers (PBMs) that use strong, high-touch clinical management programs. Amid rising drug plan costs, the employee benefits industry...

A study found insurers often pay different prices for the same procedure at the same hospital. (Vox) - We’ve known for decades now that there is widespread variation in what different hospitals charge for the same medical procedures. Study after study confirms this finding (one of...

Pricing variations for medical services are a key factor to the skyrocketing cost of healthcare. Take the case of a national insurance carrier where a provider billed $59,490 for an ultrasound that typically cost $74. These provider billing practices occur daily for virtually all medical...