Bulletins

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 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.