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7 New Job Opportunities
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[Guidance Overview]
HHS Provides Update on Progress of Advanced Explanation of Benefits Guidance
"This update is a very high-level summary of HHS's progress with the AEOB. It does not include any discussion of the
timeframe for implementation of this requirement for group health plans, although the need to develop new technical standards suggests further delay." MORE >>
Thomson Reuters / EBIA
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[Guidance Overview]
COBRA Notices: Risks and Best Practices
"COBRA administrators and employers generally use the [DOL's] model notices without modification, believing they provide a 'safe harbor' from penalties.... [R]epeated litigation has demonstrated that this practice can lead to failure to include simple
information ... which cannot be overlooked or omitted.... Furthermore, the notice should be modified if the employer sponsors a health FSA or has other special situations, such as an EAP." MORE >>
EisnerAmper
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[Guidance Overview]
Mental Health Parity Covers Treatment of Eating Disorders
"This [article] presents an overview of eating disorders and how they are treated. It also covers mental health parity requirements under the Mental Health Parity and Addiction Equity Act (MHPAEA).... In the latest statement on eating disorders, EBSA Assistant Secretary Lisa Gomez writes that people seeking treatment for eating disorders, such as therapy, medications, nutritional counseling, or residential treatment programs, should not face barriers or roadblocks that do not exist for medical treatments." MORE >>
Segal
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[Guidance Overview]
New York Becomes the First State to Mandate Paid Prenatal Leave
"This is the first law of its kind in the United States as it provides a separate bank of paid, protected leave for pregnant employees for prenatal care above and beyond existing paid leave entitlements." MORE >>
Littler
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Reducing Pharmacy Benefits Costs with a PBM
"With about a quarter of healthcare benefits costs attributed to pharmacy benefits, it's not surprising that 92% of survey respondents said they're concerned about high-cost drugs in the pipeline, and 91% are concerned about the pharmacy cost trend overall.... What is a
PBM? ... How do PBMs work? ... Who should consider a PBM? ... What are the advantages of a PBM?" MORE >>
Woodruff Sawyer
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Best Practices for Value-Based Care Payment Arrangements (PDF)
74 pages."VBC payment arrangements seek to align payment with performance on quality, cost, and patient experience.... [This playbook] identifies several voluntary best practices sourced from the direct experience of physicians, VBC entities, and health plans focused on
alleviating pain points where possible to deliver better health and smarter spending for patients and communities." MORE >>
America's Health Insurance Plans [AHIP], The American Medical Association (AMA), and The National Association of ACOs (NAACOS
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Why ICHRAs Should Be on Every Health Plan's Radar
"Well over 50 percent of U.S. states are now 'ICHRA friendly' -- meaning individual coverage premiums are lower than small group premiums.... [T]he number of workers offered an ICHRA in 2023 grew by 171 percent compared to 2022, ... The ICHRA solution
provides an affordable alternative to traditional group plans, enabling employers to make themselves more attractive to top talent without dramatically overspending." MORE >>
Benefitfocus
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Employee Benefits Jobs
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Selected New Discussions |
Employee Assistance Programs - DOL/IRS Enforcement Actions
"Anyone aware of any DOL or IRS enforcement actions concerning employee assistance programs? Specifically instances in which the DOL or IRS found that an EAP was not an excepted benefit?"
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Pacific Life
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Lincoln Financial Group
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Last Issue's Most Popular Items |
RxDC Reporting in Light of June 1, 2024 Deadline and Recent PBM Litigation
Verrill Dana LLP
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New York Employers Must Now Provide Paid Prenatal Leave
Nelson Mullins
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Final 2025 Medicare Part D Redesign Program Instructions Provide Needed Clarifications
Buck
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BenefitsLink® Health & Welfare Plans Newsletter, ISSN no. 1536-9595.
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