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Challenges for Health Plans: Gene Therapy Exclusions and Impending Rash of Special Enrollments
Vorys
[Guidance Overview] May 22, 2023 "With FDA approval of a number of gene therapy treatments, and more in the pipeline, plans can no longer rely on the experimental nature of these expensive treatments to exclude them from coverage.... [If] Medicaid or CHIP coverage ends for an employee or dependent on or before July 10, 2023, the employee will have until September 8, 2023 to exercise their HIPAA special enrollment right to enroll in the group health plan." MORE >> |
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