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Grandfathered Health Plan Implications and Considerations
Grandfathered health plans under the ACA allow certain existing plans to bypass some ACA requirements, but maintaining this status requires strict adherence to regulations, including limited benefit changes and mandatory participant notices.

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

A Comprehensive Guide to Formularies in the U.S. Health Insurance System
Learn how formularies work, their impact on drug costs, and how to navigate them effectively.

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.

Boosting Employee Engagement: 4 Strategies to Ignite Passion and Performance
Transform employee disengagement into high performance through clear expectations, mission alignment, continuous learning, and open communication.

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.

Health Insurance for Small Businesses and Startups
Choosing the right health insurance plan is essential for small businesses and startups to balance costs while meeting employees’ healthcare needs.

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.