An Update on Reference-Based Pricing
June 3, 2022
Last year we told you about a case that could potentially impact the use of reference-based pricing in self-funded health plans. The name of the
Last year we told you about a case that could potentially impact the use of reference-based pricing in self-funded health plans. The name of the
The IRS recently issued Rev. Proc. 2022-24 in which it announced cost-of-living adjustments for Health Savings Accounts (HSAs), High-Deductible Health Plans (HDHPs) and excepted benefit
The Patient Protection and Affordable Care Act, also known as the ACA, imposes an obligation, known as the employer mandate, on certain employers to provide
TLO or Terminal Liability Option is a feature of stop-loss insurance. It protects a plan sponsor of a self-funded health plan in the event that
Most employers, whether they sponsor a fully-insured health plan or a self-funded health plan, require their employees to contribute to the cost of medical benefits.
The Colorado Supreme Court may soon hear arguments in a case that may impact the future of reference-based pricing. But what is reference-based pricing? What
Is a Self-Funded Health Plan with Stop-Loss Insurance Exempt From State Regulation Under ERISA? The Employee Retirement Income Security Act of 1974 (ERISA) was adopted
On Tuesday morning, October 6, 2020, the United States Supreme Court heard oral arguments in the case Rutledge v. Pharmaceutical Care Management Association. What is
Selection of a pharmacy benefit manager (PBM) and management of the prescription formulary are important elements of the cost containment strategy in a self-insured health
The Department of Labor, Health and Human Services, and Treasury Provide Further Guidance on COVID-19 Legislation Since the enactment of the Families First Coronavirus Response
