Employers Say Pharmacy Benefit Manager Contracts too Complex, Opaque
Three in five employers think their contracts with pharmacy benefit managers are overly complex and not transparent, according to a new study.
The study, which found that employers would prefer that PBMs are more transparent with their pricing and would like them to focus less on rebates and value-based designs, comes as PBMs are under increased scrutiny for their opaque pricing practices.Read More
IRS in Full Swing on ACA Compliance Despite Uncertainty
Despite the lull in activity in Washington on the future of the Affordable Care Act and the threats by President Trump to sink the law by not enforcing regulations, the IRS is in full swing in ensuring compliance.
New Summary of Benefits and Coverage Template Must Be Used Now
There is a new Summary of Benefits and Coverage template that health plans will be required to use during open enrollment for the 2018 plan year.Read More
Uncertainty Will Hurt Individuals Who Don’t Qualify for Subsidies on Exchanges
As concern continues to swirl over the future of the Affordable Care Act and reports of large-scale premium increases in some markets, the average plan on an exchange for someone receiving subsidies would actually fall, according to a Kaiser Foundation study.Read More