Implications of the 2024 Election on Employee Benefits and Health Care
Millions of Americans have submitted ballots for the 2024 presidential election, and voting...
Medicare Part D Notices are Due Before Oct. 15, 2024
Each year, Medicare Part D requires group health plan sponsors to disclose to individuals who are...
Health Care Costs 254% Higher for Privately Insured Patients Than Those With Medicare
A new RAND report revealed that in 2022, private insurers paid hospitals an average of 254% more...
Medicare Part D Changes May Impact Creditable Coverage Status of Employer Plans
The Inflation Reduction Act of 2022 (IRA) includes several cost-reduction provisions affecting...
CMS Preserves Creditable Coverage Simplified Determination Method in Final Part D Instructions for 2025
On April 1, 2024, the Centers for Medicare and Medicaid Services (CMS) issued Final Part D...
Medicare’s Coordination of Benefits Rules
Employers sponsoring group health plans that cover individuals enrolled in Medicare should...
Medicare Part D Disclosures due by Feb. 29, 2024 for Calendar Year Plans
Each year, group health plan sponsors are required to complete an online disclosure form with the...
The Industry Impact of Medicare Drug Price Negotiations
The Biden administration recently unveiled the first 10 prescription drugs subject to Medicare...
Medicare Part D Notices are Due before October 15, 2023
Each year, Medicare Part D requires group health plan sponsors to disclose to individuals who are...
Biden Administration Asks Employers to Extend Special Enrollment Period for Individuals Losing Medicaid Coverage
On July 20, 2023, federal agencies released a letter calling on employers who sponsor group health plans to extend their HIPAA special enrollment periods beyond 60 days for individuals who lose coverage under Medicaid or CHIP. This Legal Update summarizes this development.
What Employers Need to Know About Medicaid Redeterminations
In 2020, the U.S. Congress passed the Families First Coronavirus Response Act in response to the...
