Becker's Healthcare August 19, 2024
Employers are facing legal pushback over high healthcare costs, the Medicare Advantage landscape is getting more tricky, and alternative payment models are growing in popularity.
Three key payer trends hospitals need to know:
1. Employers are getting sued over healthcare costs
Large, self-insured employers are beginning to face lawsuits from their workers over claims of mismanaging health and pharmaceutical benefits and violating their fiduciary duties under the Employee Retirement Income Security Act.
In the most recent example, Wells Fargo was sued by employees in July for allegedly paying inflated prices to its contracted pharmacy benefits manager, Express Scripts. Other notable ongoing examples include Johnson & Johnson and Mayo Clinic.
2. Medicare Advantage growth and headwinds
Medicare Advantage enrollment has...
Today's Sponsors
Today's Sponsor