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Pharmacy Benefit Manager Reform: What’s on the Horizon?

McDermott Will & Emery Employee Benefits

Pharmacy benefit managers (PBMs) are a key stakeholder in the drug supply chain, functioning as intermediaries between insurance providers and pharmaceutical manufacturers. PBMs administer […] The post Pharmacy Benefit Manager Reform: What’s on the Horizon? appeared first on EMPLOYEE BENEFITS BLOG.

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Employers ‘Unwavering’ in Providing Group Health Benefits: Research

InterWest Insurance Services

The poll of 26 health benefits decision-makers at large firms, carried out by The Commonwealth Fund and the Employee Benefits Research Institute (EBRI), found that despite rising premium and health care costs, they felt obligated to offer health insurance instead of shunting employees to exchanges. .”

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Healthcare Must be Focused on the Patient Journey 

HR Professionals Magazine

Insulin prices have increased 600 percent over the last 20 years causing many consumers to be at risk of non-adherence due to cost. 4 Solving the Affordability Issue – Legislation Influence The Inflation Reduction Act , a spending package Congress approved in 2022, capped insulin out-of-pocket costs at $35 for Americans with Medicare.

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CMS Releases CY 2025 Advance Notice for Medicare Advantage and Part D

McDermott Will & Emery Employee Benefits

The advance notice is released on an annual basis and includes proposed updates […] The post CMS Releases CY 2025 Advance Notice for Medicare Advantage and Part D appeared first on EMPLOYEE BENEFITS BLOG.

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3 Ways to Strengthen Cost Management for Pharmaceutical Benefits

Griffin Benefits

And while breakthrough biologics command most spending on autoimmune conditions, it doesn’t mean all of them are cost-effective or should be on formulary. Creating an additional tier for specialty drugs — or even for biologics and biosimilars alone — can start to help control costs.

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March HR News Worth Review

Higginbotham

First, most non-grandfathered group health plans and health insurance issuers offering non-grandfathered health insurance coverage in the individual and group markets will be required to disclose personalized price and cost-sharing information to participants, beneficiaries and enrollees (or their authorized representatives).

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The Consolidated Appropriations Act: 2021’s Employee Benefits Provisions

McNees

The Consolidated Appropriations Act, 2021 (“Act”), signed by President Trump on December 27, 2020, contains several provisions affecting employee benefits. For more information on these changes and other employee benefit law changes, contact a member of our Labor and Employment or Employee Benefits Group.