
2025 RxDC Reporting Challenges and Best Practices
Gain insights into the latest updates on RxDC reporting, key challenges, and strategies for meeting compliance obligations.

Pharmacy Benefit Managers: The Middleman of Healthcare
Pharmacy Benefit Managers (“PBMs”) influence drug pricing and access, but their opaque practices raise concerns about transparency and competition.

Understanding Maine’s Paid Family and Medical Leave Program
Maine has finalized its Paid Family and Medical Leave rules, requiring employers to prepare for new payroll taxes starting in 2025.

DOL Guidance Clarifies Gag Clause Prohibition Attestation
The Department of Labor’s new guidance on the Gag Clause Prohibition clarifies that no agreements can restrict plan sponsors or their business associates from accessing critical health claims data, ensuring greater transparency and compliance.

Creditable Coverage Disclosure to CMS for Calendar Year Plans due March 1, 2025
Group health plan sponsors offering prescription drug coverage must submit their annual creditable coverage disclosure to CMS by March 1, 2025, for calendar year plans to ensure compliance and avoid penalties.

Illinois Employer Medical Coverage Model Disclosure Update
Illinois employers are required to provide employees with a written comparison of their health plan’s benefits. An updated model disclosure forms was recently released for 2025.

New York Employers Need to Prepare for Paid Prenatal Leave Starting in 2025
Starting January 1, 2025, New York employers must provide 20 hours of paid prenatal leave, with clear guidelines outlined by the NYS Department of Labor.

California Expands Disability and Paid Family Leave Benefits
SB 1090 increases SDI and PFL wage replacement to 70-90% and streamlines claim processing.

What Employers Need to Know about Medical Loss Ratio Rebates in 2024
In 2024, employers must distribute MLR rebates tied to employee contributions. Learn about allocation, ERISA compliance, and tax implications.