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SSG Insights | Week of August 19, 2022


Health Plan Disclosure Requirements for Prescription Drugs

Under the ACA transparency-in-coverage (TiC) rules and provisions of the CAA, group health plan sponsors must both disclose and report detailed information regarding a plan’s prescription drug coverage and costs. There is significant overlap under the two sets of disclosure rules, which has led to confusion regarding compliance. Recent CMS guidance provided some technical clarifications to certain required Report elements, but it also sparked more confusion among plan sponsors as to applicable deadlines.

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Inflation Reduction Act Contains Some Health Reforms

On Aug. 12, 2022, the U.S. House of Representatives passed the Inflation Reduction Act, and it is expected to be signed into law shortly. While this bill is primarily aimed at fighting inflation and reducing carbon emissions, it also contains a number of reforms that will impact health coverage. This Legal Update provides an overview of the health reforms included in the bill.

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Bringing Purpose to Your People

Your individual purpose is a driving force that brings value to your life. 70% of employees believe their jobs express their individual purpose. Additionally, the organizational purpose is elevated when employees are aware of their individual purpose. As you look at upcoming people initiatives, consider what your company and people managers can do to help employees find their purpose.

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Federal Guidance on Nondiscrimination in Telehealth

Federal agencies recently issued guidance on how various federal laws, including the ADA, Title VI and Section 1557 of the ACA, require telehealth to be accessible to people with disabilities and limited English proficiency. This Legal Update provides an overview of the guidance.

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