Jun 30, 2025 | Announcements, Compliance, HIPAA, Privacy, Regulatory, Reproductive health care
On June 18, 2025, the United States District Court, Northern District of Texas, vacated the HIPAA Privacy Rule to Support Reproductive Health Care Privacy (Final Rule) with nationwide effect. In doing so, HIPAA Covered Entities, including self-funded health plan...
Jun 2, 2025 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), PCORI, Regulatory
As in years past, no later than July 31, 2025, all self-funded employer health plan sponsors are required to file and pay their PCORI fees. You may remember that as part of the Further Consolidated Appropriations Act of 2020, Congress extended the requirement that...
May 30, 2025 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), Pharmacy, Regulatory
As you’ll recall, the Consolidated Appropriations Act of 2021 (CAA) requires all health plans to file a pharmacy data report annually to the Centers for Medicare & Medicaid Services (CMS). Each year, the Prescription Drug Data Collection reporting (RxDC)...
Apr 22, 2025 | Compliance, Genomics, MedBen University, Mental health parity, Roundtables, Stop-Loss, Wellness
Nearly 50 clients and brokers attended the MedBen University (MBU) 2025 Employer Roundtable on April 9. Industry professionals from MedBen, Sun Life, and Profero Team provided attendees with outside-the-box ways to blend benefits management and employee well-being,...
Apr 8, 2025 | Affordable Care Act, Compliance, Employee Retirement Income Security Act (ERISA), Gag Clause, HIPAA, MedBen Employees, Medicare, Mental Health Parity and Addiction Equity Act (MHPAEA), Regulatory
Employer-sponsored health plans are subject to at least 46 federal laws, most of which apply to self-funded plans, according to a new report from the Congressional Research Service. This ever-expanding regulatory landscape raises employers’ risk of legal and...
Mar 10, 2025 | Compliance, Consolidated Appropriations Act of 2021 (CAA), Regulatory, RxDC report
As you may recall, the Consolidated Appropriations Act of 2021 (CAA) requires group health plans to submit to the Centers for Medicare & Medicaid Services information about prescription drugs and health care spending. This data submission is called RxDC (for...
