Judge stays provisions of Trump administration rule overhauling ACA

A Maryland district judge has paused heightened standards for people verifying their eligibility for subsidies and other key elements of a controversial final rule from July.

No Surprises dispute resolution is creating billions of dollars in extra costs, could raise premiums: analysis

Providers are turning to the law’s arbitration process in droves to settle out-of-network claims, one factor fueling spending that could cost consumers down the line.

Close care gaps to improve quality scores and member health

Johns Hopkins goes out of network with UnitedHealthcare after failed contract negotiations

The Baltimore-based system and the major insurer failed to resolve their contract spat by Monday’s deadline, sending some 60,000 patients out of network. Both pledged to continue negotiations.

Judge approves $2.8B Blues settlement with providers

The final settlement wraps up 12 years of litigation over Blue Cross and Blue Shield plans’ alleged collusion to lower reimbursement to U.S. providers.

UnitedHealth forms new ‘public responsibility’ board committee

The committee will oversee areas where UnitedHealth has struggled or faced public scrutiny: underwriting and forecasting, regulatory relationships, reputational matters, and M&A.

CVS Caremark fined $290M for Medicare fraud

CVS tried and failed to convince the judge to decrease the penalty. The company plans to appeal the ruling.

Expect health insurance prices to rise next year, brokers and experts say