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News & Updates

Trump Administration Reconsiders Enforcement of Final Mental Health Parity Rule

  • On May 19, 2025
On May 15, 2025, the U.S. Departments of Labor, Health and Human Services, and the Treasury (Departments) released a statement regarding nonenforcement of the 2024 final rule under the Mental Health Parity and Addiction Equity Act (MHPAEA). The statement relates to a lawsuit by an employer trade group seeking to invalidate the final rule. The litigation has been put […]
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MMO: 5/16/25 Broker Update

  • On May 13, 2025
MetroHealh Broadway Pharmacy Leaving Express Scripts, Discount Drug Mart No Longer Supplying Durable Medical Equipment Through Health Plan Benefits, and Spring/Summer Healthy Outlooks Release
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Trump Administration Executive Order Aimed at Prescription Drug Prices

  • On May 7, 2025
On April 15, 2025, President Trump issued an executive order (EO) to lower prescription drug prices for health plan participants and beneficiaries. The EO covered various issues, such as enhancing price transparency, reforming pharmacy benefit managers (PBMs), and boosting competition to lower prescription drug costs. PBM Reform and Compensation Disclosure The EO directs the Department of Health […]
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MMO: 4/30/25 Broker Update

  • On May 1, 2025
Updated Fully Insured Group Contracts Available, Paramount Members' Telehealth Options to Change, Network Updates for East Ohio, PA, and NJ, Commercial Group Pharmacy Benefit Changes
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Navigating PCORI Fees for Self-Insured Health Plans and HRAs

  • On April 28, 2025
The Affordable Care Act (ACA) imposes a fee on issuers of specified health insurance policies and plan sponsors of applicable self-insured health plans to help fund the Patient-Centered Outcomes Research Institute (PCORI). The IRS has provided this helpful chart for more information on whether a type of insurance coverage or arrangement is subject to the fee. Note that […]
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HR Insight: Mental Health Support in the Workplace – A Guide to Supporting Employee Wellbeing

  • On April 21, 2025
As we progress into 2025, one of the most critical issues facing organizations today is the mental health of their employees. Over the past few years, workplace dynamics have shifted dramatically. Employees face increased stress due to economic uncertainty, remote work, and balancing personal responsibilities. In this context, fostering a workplace culture that prioritizes mental […]
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Supreme Court Decision Shifts Burden in ERISA Fee Dispute Case

  • On April 21, 2025
On April 17, 2025, the U.S. Supreme Court issued a unanimous decision in Cunningham v. Cornell University allowing employees to challenge specific fee arrangements between their employer and retirement plan service providers under the Employee Retirement Income Security Act (ERISA). The Court adopted an employee-friendly interpretation of the law, making it easier for workers to bring claims […]
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Executive Order Targets Prescription Drug Costs and PBM Transparency

  • On April 21, 2025
On April 15, 2025, President Donald Trump signed an executive order aimed at curbing prescription drug prices in the U.S. The order directs multiple federal agencies to take steps toward increasing transparency and accountability in the pharmaceutical supply chain, focusing on the role of pharmacy benefit managers (PBMs). Among the key directives is an order for the […]
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Updated CHIP Notice Model Released by U.S. Department of Labor

  • On April 14, 2025
The U.S. Department of Labor’s Employee Benefits Security Administration (EBSA) has issued an updated model Employer CHIP Notice reflecting information as of March 17, 2025. What Employers Need to Know Under the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA), employers offering group health coverage must provide an annual notice to employees residing in […]
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