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Employee Benefit News for School, City and County Employers

White House Commission's First Look at Chronic Disease Report

1.5 minute read

The White House's Make America Healthy Again (MAHA) Commission, led by U.S. Health and Human Services Secretary Robert F. Kennedy Jr., has released its inaugural report on chronic...

Mental Health Parity Rule Not Enforced by Trump Administration

1.5 minute read

On May 15, 2025, the U.S. Departments of Labor, Health and Human Services, and the Treasury (Departments) announced a pause on enforcing the 2024 Mental Health Parity and Addiction...

Strategies for Reducing Employee Medical Costs

2.5 minute read

Rising healthcare costs, including prescription drugs, challenge employees' ability to afford necessary care. High deductible health plans (HDHPs) offer manageable premiums but...

U.S. Prescription Drug Spending Escalates by 10.2% in 2024

1 minute read

A report from the American Society of Health-System Pharmacists (ASHP) shows U.S. prescription drug spending hit nearly $806 billion in 2024, a 10.2% rise from 2023, driven by the...

Breast Cancer Screening Coverage to Broaden in 2026

1.5 minute read

Starting December 31, 2025, group health plans and insurers must fully cover additional breast cancer imaging and testing, as well as patient navigation services for breast and...

Executive Order to Lower Drug Prices by Adopting Global Pricing

1 minute read

On May 12, 2025, President Trump issued an executive order (EO) to align U.S. prescription drug prices with those of similar nations. A White House fact sheet highlights that Americans...

2026 HSA and HDHP Limits

1 minute read

On May 1, 2025, the IRS announced the 2026 inflation-adjusted limits for health savings accounts (HSAs) and high deductible plans (HDHPs). The IRS must publish these limits by June 1st...

Exploring the Future of Biosimilars: Market Insights

3 minute read

A decade after their initial approval, biosimilars continue to receive the U.S. Food and Drug Administration (FDA) endorsements and enter the market each year. These cost-effective...

RxDC Reports Must Be Submitted by June 1, 2025

1.5 minute read

Group health plans and insurers must submit the annual RxDC report on prescription drug and healthcare spending to the federal government by June 1st of each year. The upcoming...

Understanding Health Plan Deductibles and OOPMs

5 minute read

Deductibles and out-of-pocket maximums (OOPMs) are key cost-sharing elements in health plans. A deductible is the annual amount you pay before your plan covers expenses, while an OOPM...