Bulletins

Starting January 2026, Gravie is partnering with Express Scripts by Evernorth as the carrier’s new pharmacy benefit manager (PBM). This new partnership will create opportunities for savings and introduce new member-facing price transparency tools. The change impacts all Gravie groups and health...

Earlier this year, the Centers for Medicare and Medicaid Services (CMS) released a revised simplified determination that can be used by most employer groups* to evaluate the creditable coverage status of their prescription drug coverage. (Note: For fully insured and most level-funded plans,...

In a move to curb the impact of high-cost drug utilization on members and plan sponsors, Blue Cross Blue Shield of Kansas City (Blue KC) is launching a new drug discount program.

The IRS recently issued Revenue Procedure 2025-25, establishing the 2026 affordability threshold at 9.96% of annual household income. This is a nearly 1% increase from the 2025 threshold of 9.02%. The rate is used to determine the affordability of employer-sponsored health coverage and eligibility...

Throughout August, Blue Cross Blue Shield of Kansas members can earn a $5 digital gift card for learning more about the SmartShopper comparison tool. Members who utilize a provider, identified as delivering a high-quality, best-cost outcome within the platform, can earn cash-back rewards.

Missouri Governor Mike Kehoe signed a measure overturning the voter-approved initiative requiring Missouri employers to provide paid sick time and statutorily adjusting the minimum wage each year.

Each year self-funded (including level-funded) plan sponsors must file the Patient-Centered Outcomes Research Institute (PCORI) fee. Applicable employers should use one of four methods to calculate how much is owed and submit the information to the IRS using Form 720 by July 31. Detailed guidance...

Effective July 1, 2025, Aetna will no longer cover Zepbound, a GLP-1 medication used for weight management. Both Wegovy and Saxenda will continue to be covered. The change is estimated to create year-over-year client savings of 10 to 15 percent within this medication classification.

Gravie members receiving coverage for GLP-1 medication, used to treat type 2 diabetes and prescribed for weight loss, will be subject to new requirements effective July 15, 2025.

The Internal Revenue Service (IRS) recently issuedRevenue Procedure 2025-19establishing health savings account (HSA) contribution limits for the 2026 calendar year. Beginning January 1, 2026, individuals with self-only coverage can annually contribute up to $4,400 to their HSA. Those with family...