Group health plans and health insurance issuers must annually submit detailed information on prescription drug and health care spending to the Centers for Medicare and Medicaid Services (CMS). This reporting is referred to as the prescription drug data collection (RxDC report). The next RxDC report is due by June 1, 2026, covering data for 2025. ...
TrumpRX is a newly launched federal website intended to help Americans access lower prices on select prescription medications by showcasing discounted cash pay options negotiated directly with pharmaceutical manufacturers. Unlike a traditional pharmacy or insurance integrated tool, TrumpRx does not process insurance and does not function like a standard drug dispensing platform; instead, it displays...
Low health literacy is quite common in the United States. According to the National Assessment of Adult Literacy, only 12% of Americans have proficient health literacy skills, which means many adults have difficulty understanding drug labels, following prescription instructions or identifying credible health care resources. Given today’s complex health care system, health care literacy has...
Starting Nov. 1, Americans can log on to HealthCare.gov and state-run exchanges, as the Affordable Care Act (ACA) Health Insurance Marketplace (Marketplace) open enrollment period began for 2026 coverage. This year’s enrollment window runs through Jan. 15, 2026, in most states, with some extending deadlines into late January. The average Marketplace premium after tax credits...
Every year, health insurance companies inform state officials of their expected cost changes and propose new prices for plans that comply with the Affordable Care Act regulations. A report from KFF, an independent source for health policy research, focuses specifically on plans for small businesses, typically those with 50 or fewer employees. These plans can...
As open enrollment season approaches, it’s never too early to start preparing so that you can make educated choices on benefits enrollment for the upcoming year. This annual window offers the opportunity to enroll in, change or update coverage options such as health insurance, dental plans, and voluntary benefits like life and disability insurance. The...
Employers should be aware of updates to several model notices that can be used to comply with certain disclosure requirements for their group health plans under federal laws. Federal agencies provide these model notices to aid compliance and periodically update them to reflect changes to the law or the information contained in the notices. While...
A recent survey from Gallagher, a global insurance brokerage, risk management and consulting firm, found that nearly one-third of employers are expected to expand voluntary benefit offerings by 2027. The survey demonstrates the significance of voluntary benefits in modern benefits packages, with over two-thirds (70%) saying they are driven to offer these perks to ensure...
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