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New Health Plan Prescription Drug Reporting Mandate

AssuredPartners

For fully insured plans, health insurance carriers will be responsible for making the necessary reporting from a legal standpoint. Employers who sponsor self-funded health plans should coordinate with their self-funded TPA and pharmacy benefit manager (PBM) to ensure timely reporting of the required data.

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What PBM-carrier Mergers Mean for Employers and Benefits Plans

Corporate Synergies

Consolidation in the insurance industry—integrating pharmacy benefit managers (PBMs) into carriers—is bringing change to the way employers buy health insurance and how employees and consumers use it. Whether these PBM-carrier mergers are good or bad remains to be seen. What Plans Should Do Right Now.

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How Does an Employee Benefits Survey Help a Company Grow?

Vantage Circle

There's a science to selecting benefits that effectively balance employer budgets and employee priorities. Benefits include health insurance, retirement plans, flexible work arrangements, professional development stipends, and other offerings to support well-being and life outside work.

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New Transparency Requirements for Health Plans

AssuredPartners

Departments of Health and Human Services, Labor and the Treasury (together, the Departments) issued a final rule under the Patient Protection and Affordable Care Act (PPACA) and in furtherance of an executive order issued in 2019.

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Adjusted Community Rating and Its Role in Health Care Costs

Insperity

This ratio compression is expected to result in higher premiums for younger individuals, as insurers account for the drop in premiums for older individuals. Most small businesses should expect to see an increase in their health insurance premiums due to this age ratio compression. Early bird special? Strength in numbers.

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Medical Marijuana Within the Context of Workers’ Compensation Claims

The Workcomp Writer

It is, of course, one thing for a state to allow the use of marijuana in the treatment of injuries and diseases, but quite another to require employers and/or insurers to reimburse injured workers in connection with a workers’ compensation claim. The appellate court disagreed with the employer’s premise. 3d 924 (N.M.