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Measure Would Cap Insured Out-of-Pocket Cost of Insulin at $35

InterWest Insurance Services

House of Representatives has passed legislation that would cap the out-of-pocket cost of insulin at $35 a month for people with group or private health insurance. While the measure still has to face a vote in the Senate, it has broad backing after the cost of insulin has skyrocketed in recent years. How it would work.

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More Insurers Pushing Virtual Care for Cost Savings

InterWest Insurance Services

More and more insurers are expanding the use of telemedicine, just as a new study shows promising cost savings of up to 25% from virtual care when implemented properly. It’s envisioned that these stand-alone telehealth benefits would operate similarly to dental and vision benefits, remaining separate from health care plans.

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New Health Plan Prescription Drug Reporting Mandate

AssuredPartners

Filings are not necessary for account-based plans such as Health Reimbursement Arrangements (HRAs) or excepted benefit plans, such as a stand-alone Dental/Vision plan. Finally, plan sponsors and insurers must report any reduction in premiums and out-of-pocket costs associated with these rebates, fees, or other remuneration.

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New Transparency Requirements for Health Plans

AssuredPartners

This rule, entitled Transparency in Coverage, requires group health insurance carriers and self-insured plans to disclose rates and cost-sharing information for all covered items and services. Effective January 1, 2024 , the online cost-sharing information must include all covered items and services.