Oct 26, 2026 | Acquisition Cost Index (ACI) pricing, Consolidated Appropriations Act of 2026 (CAA), Department of Labor, Formularies, High-value formulary, MedBen Rx, Pharmacy, Pharmacy Benefits Manager (PBM), Transparency
Federal reforms are putting plan sponsors’ oversight duties in sharper focus. The 2026 Consolidated Appropriations Act (signed February 3) adds PBM reporting rules that cover drug spending, pass-through rebates, and vendor compensation. Major provisions will generally...
Apr 17, 2026 | Caroline Fraker, Centers for Medicare & Medicaid Services (CMS), Compliance, Department of Health and Human Services (HHS), Department of Labor, MedBen Employees, Mental Health Parity and Addiction Equity Act (MHPAEA), No Surprises Act (NSA), Regulatory, SPBA, TrumpRx
On March 30–31, MedBen President, COO & CPO Caroline Fraker attended the annual Society of Professional Benefits Administrators (SPBA) Spring Conference in Washington, D.C. Traditionally, this gathering of third-party administrator professionals focuses on...
Feb 5, 2026 | Compliance, Department of Labor, Employee Retirement Income Security Act (ERISA), Legislative, Pharmacy Benefits Manager (PBM), Regulatory
Pharmacy benefit managers continue to draw scrutiny in Washington, and two recent federal actions signal that greater transparency and oversight may be on the horizon. One is a newly enacted funding law that includes PBM reforms, and the other is a proposed Department...
Sep 17, 2024 | Announcements, Compliance, Department of Labor, Mental Health, Mental health parity, Regulatory
On September 9, 2024, the federal Employee Benefits Security Administration (EBSA) released information and a preview of the Department of Labor’s final Mental Health Parity regulations. The Final Rules are scheduled to be published in the Federal Register within the...
Jul 8, 2024 | Affordable Care Act, Compliance, Department of Health and Human Services (HHS), Department of Labor, News, Regulatory, Supreme Court, Treasury Department
Last month, in a 6 to 3 decision, the U.S. Supreme Court overturned the “Chevron Deference” doctrine. The Chevron Deference is a principle of administrative law that has required courts to defer to how regulatory agencies interpret federal statutes (legislation...
Jul 24, 2023 | Compliance, Department of Labor, Mental Health, News, Regulatory
On July 10, 2023, the United States Office of Management and Budget (OMB) received the Department of Labor’s newly proposed Mental Health Parity regulations. This latest installment in health plan Mental Health Parity compliance is expected to be released in the near...
