Bulletins

The Consolidated Appropriations Act (CAA) gag clause prohibition requires issuers and plan sponsors to attest that any agreements they enter with health care providers, third-party administrators or other service providers will not contain language restricting access to cost and quality of care...

Four months following Humana’s announcement that the carrier is exiting the employer group commercial medical business, Humana and UnitedHealthcare (UHC) announced an agreement that will enable Humana’s group customers to select a UHC plan upon the current plan’s expiration or non-renewal. Groups...

Humana announced this morning that it will exit the employer group commercial medical business. This includes all fully insured, self-funded and federal medical plans, as well as Humana’s standalone Go365 products. Humana will continue to maintain its dental, vision, life, and Medicare coverage.

Starting January 1, UnitedHealthcare (UHC) members have access to an enhanced cost-transparency tool that includes cost-sharing information on 500 shoppable medical services and items. 

Starting January 1, Humana members have access to an enhanced cost-transparency tool that includes cost-sharing information on 500 shoppable medical services and items.

Effective February 1, 2023, Aetna will no longer offer their Attain by Aetna wellness program to new or renewing small and large groups. Users currently participating in the program can continue to earn and redeem points until the discontinuation. Enrollment for the Earn Your Watch benefit within...

Blue Cross Blue Shield of Kansas City (Blue KC) has expanded its BlueSelect Plus network to include Western Missouri Medical Center located in Warrensburg, Mo. The addition increases the number of hospitals in the network to 13.

Effective July 1, 2022, Aetna will change theAdvanced Control-Aetna formularyfor all fully insured and self-insured groups. Changes address refill quantities and non-formulary, preferred brand and specialty drug categories.

Blue KC is updating their prescription drug list, as well as opening a new Spira Care location in Independence, Missouri. 

Blue Cross Blue Shield of Kansas City (Blue KC) members can be reimbursed for over-the-counter (OTC), FDA-approved COVID-19 tests by submitting a Blue KC-provided claim form. The OTC COVID-19 test benefit includes up to eight tests per member per month. Members must provide a copy of the receipt...