Bulletins

Last week Blue Cross and Blue Shield of Kansas (BCBSKS) issued emails and letters to plan sponsors who had coverage with the carrier for any period in 2023. BCBSKS is requesting data needed to comply with the Prescription Drug Data Collection (RxDC) reporting requirement. To comply with the...

Aetna recently emailed employer groups who had Aetna coverage for any period in 2023. Aetna is requesting data needed to comply with the Prescription Drug Data Collection (RxDC) reporting requirement. To comply with the Consolidated Appropriations Act (CAA) passed in December 2021, insurance...

Aetna’s new online cost estimator tool allows members to compare the cost of medical services prior to setting an appointment. The tool provides average network and out-of-network costs for tests, office visits, selective surgeries, and procedures.

Anthem employer groups recently received an email from Anthem requesting data needed to comply with the Prescription Drug Data Collection (RxDC) reporting requirement. To comply with the Consolidated Appropriations Act (CAA), passed in December 2021, insurance companies and employer-based plans...

UnitedHealthcare (UHC) plan sponsors have until April 10 to provide data needed to complete the annual Prescription Drug Data Collection (RxDC) reporting. To comply with the Consolidated Appropriations Act (CAA), passed in December 2021, insurance carriers and employer-based plans must submit...

Humana employer groups recently received a second email regarding data needed to comply with the Prescription Drug Data Collection (RxDC) reporting requirement. The email was sent from Horizon Insights. Humana revised its original data request issued mid-February in response to updated guidance...

Effective April 1, 2024, Aetna will remove Humira (adalimumab) from most commercial pharmacy formularies. Impacted plan members will need to switch to a preferred biosimilar or other preferred product.

Starting January 1, 2024, Blue Cross Blue Shield of Kansas City (Blue KC) will implement updated prescription drug lists for small groups.

The IRS announced today that the health flexible spending account (FSA) cap for 2024 is $3,200, a $150 increase from 2023. For cafeteria plans that permit carryover funds, the maximum carryover amount is $640, a $30 increase from the current-day limit. The dependent care FSA limit remains at $5,000...

The Consolidated Appropriations Act (CAA)gag clause prohibitionrequires 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...