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Employee Benefits
Insurers Commit to Massive Overhaul of Prior Authorization
Major health insurers are streamlining prior authorization, driven by new regulations and state mandates, promising faster patient care.
Employee Benefits Compliance
How to Address Form 1095 TIN Verification Errors
Understand, resolve, and proactively prevent TIN verification errors in ACA Form 1095 filings to ensure compliance and minimize costly IRS penalties.
Pharmacy Benefits Management
Trump Issues Executive Order Targeting Prescription Drug Costs
President Trump’s recent Executive Order could usher in lower prescription drug costs for employer health plans.
Employee Benefits Compliance
IRS Announces 2026 HSA, HDHP, and HRA Inflation Adjustments
The IRS has announced the 2026 inflation-adjusted limits for HSAs, HDHPs, and Excepted Benefit HRAs, increasing contribution and coverage thresholds to reflect rising healthcare costs.
Employee Benefits Compliance
San Francisco HCSO and FCO Annual Reporting Due by May 2, 2025
San Francisco employers must submit the 2024 HCSO and FCO Employer Annual Reporting Form by May 2, 2025, to avoid penalties and ensure compliance.
Employee Benefits
The Impact of Gene Therapy on Self-Funded Health Plans and Medical Stop-Loss Captives
Explore the intersection of gene therapy and self-funded employer health plans that leverage captive insurance arrangements.
Employee Benefits Compliance
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.
Employee Benefits
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 Benefits Management
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.
