1 minute read
Group health plans and issuers must submit detailed data on prescription drug and health care spending annually to the Centers for Medicare & Medicaid Services (CMS). Known as the RxDC...
2 minute read
When it comes to health insurance, employers are constantly searching for ways to optimize coverage and manage costs. That's where embedded and nonembedded deductibles come into play....
1.5 minute read
Group health plan sponsors must annually complete an online form with the Centers for Medicare & Medicaid Services (CMS) to disclose if their prescription drug coverage is creditable...
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Several pharmaceutical companies plan to raise prices on over 500 drugs in January, including 140 brands. Companies say that high inflation and supply chain concerns in the Middle East...
1.5 minute read
The U.S. Food and Drug Administration (FDA) has granted Florida permission to directly import prescription drugs from Canada. This historic policy shift has the potential to...
1.5 minute read
The IRS issued Notice 2024-2 which gives guidance regarding the “SECURE 2.0” Act. SECURE 2.0 is part of the Consolidated Appropriations Act of 2023 which was signed in December of...
4.5 minute read
Employers should be aware of the compliance issues impacting their health plan coverage in 2024, including expanded electronic reporting requirements under the ACA and anticipated...
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The Centers for Medicare and Medicaid Services released the cost sharing limits for 2025 plan years. The new limits will be $9,200 for self only coverage and $18,400 for family coverage.
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Many employee benefits are subject to annual dollar limits which are adjusted for inflation by the IRS each year. Many limits will increase for 2024.
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The Inflation Reduction Act allows the federal government to negotiate directly with drug manufacturers to improve access to several costly brand-name drugs. Despite legal challenges,...
