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...

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.

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.

Allstate recently emailed plan sponsors 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 must submit information...

Blue Cross and Blue Shield of Kansas City (Blue KC) emailed plan sponsors today requesting data needed to comply with the Prescription Drug Data Collection (RxDC) reporting requirement. Groups that do not have an email address on file, or whose email address bounced, will be mailed a letter. To...

Blue Cross and Blue Shield of Kansas (BCBSKS) recently mailed letters to plan sponsors 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...

UnitedHealthcare (UHC) plan sponsors have until March 31 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...

Aetna recently emailed employer groups that had Aetna coverage for any period in 2024, 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...