Employer-Sponsored Health Plans Could Receive Trillions in Federal Tax Subsidies Over Next Decade
The Congressional Budget Office (CBO) recently reported that under current federal income tax rules, employer-sponsored health plans could receive trillions in subsidies over the next decade. CBO analysts prepared the 2026 report with staff analysts from the congressional Joint Committee on Taxation (JCT). More specifically, the report states that these plans could be entitled to […]
Henry Ford Health Sues CVS Over Improper Diversion of 340B Savings
Henry Ford Health recently filed suit in federal district court against CVS Health and its affiliates, claiming an improper diversion of more than $29 million in savings derived from the federal 340B Drug Pricing Program. In its lawsuit, Henry Ford Health, which consists of four hospitals, alleges that CVS manipulated reimbursements for specialty drugs to […]
Feds Release New Code List to Quell No Surprises Act Disputes
To reduce No Surprises Act (NSA) claim disputes, a coalition of federal agencies has issued a new list of nine remittance advice remark codes (RARCs) for payers to use to explain payments that differ from the amount billed. Federal regulators hope the new RARCs, which supplement existing claim adjustment reason codes (CARCs), will help insurers […]
Public Comment Period Planned for Umpires in No Surprises Act Claim Disputes
Officials from various federal agencies have announced that they are establishing a new renewal process for the “independent dispute resolution (IDR)” entities that make decisions in No Surprises Act (NSA) billing disputes. According to representatives from the U.S. Department of Health and Human Services (HHS), the U.S. Department of Labor (DOL) and the U.S. Treasury […]
UnitedHealthcare Prevails in 68% of Claims They Initiated Under the No Surprises Act
As data dashboards from Turquoise Health become available, new data show that some health insurers and plan administrators are achieving a relatively high success rate in disputes they initiate under the No Surprises Act (NSA). For instance, in the second quarter of 2025, the most recent timeframe for which data is available, UnitedHealth Group received […]