Pharmacy benefit managers should be required to act as fiduciaries acting in the interest of health-plan beneficiaries in providing benefits and paying plan expenses, a House subcommittee was told at a Tuesday hearing.
Out-of-network use of mental health providers for US patients was many times higher than use for medical and surgical treatment—nearly 20 times more for certain behavioral inpatient care—according to a new study that signals mental health benefits parity is still far from a reality.
Sidley Austin is advising the
Laid-off Twitter employees who say they’re owed severance benefits after
Northeastern University must face the bulk of a proposed class action challenging the fees and investment performance of its employees’ retirement plan after a Boston federal judge declined to closely examine the lawsuit’s benchmarks.
A US Supreme Court case that pits emergency health care against a state abortion ban is being closely watched for its potential to create a foundation for fetal rights.
Even states known for their above-average health care systems struggle with deep racial and ethnic divides when it comes to access, quality of care and outcomes, according to a new report from the nonprofit foundation Commonwealth Fund.
The issues with office mortgages that have bedeviled US lenders are going to take longer to work out, a pair of regional-banking giants warned Wednesday.
There’s now at least one unemployed job seeker for every vacancy in five US states, a sign that the labor market is loosening in swaths of the country.
The court denied AT&T Umbrella Benefit Plan No. 3 and Sedwick Claim Management Services Inc.'s motion to dismiss an employee’s ERISA action challenging the denial of long-term disability benefits and alleging breach of fiduciary duties. Dickson v. AT&T Umbrella Ben. Plan No. 3, 2024 BL 128122, W.D. Mo., 4:23-cv-00456-DGK, 4/15/24
The court denied the University of San Francisco Welfare Benefit Plan’s motion for summary judgment on the applicable standard of review of an employee’s ERISA and Parity Act action challenging the denial of benefits for residential treatment as not medically necessary. K.G. v. Univ. of S.F. Welfare Ben. Plan, 2024 BL 12455, N.D. Cal., Case No. 23-cv-00299-JSC, 4/11/24
The court granted an employee’s request to overturn the Director’s Guild of America’s denial of benefits, and entered judgment in the employee’s favor, in this ERISA action for denial of benefits and breach of fiduciary duty. Dan C. v. Anthem Blue Cross Life & Health Ins. Co., 2024 BL 120514, C.D. Cal., 2:22-cv-03647-FLA (AJRx), 4/9/24
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