"This alert highlights key filing, notice, contribution, and reporting obligations commonly applicable during the April-June timeframe, including ERISA plan filings, health plan reporting, and HSA-related actions."  MORE >>

"The U.S. health insurance market has consolidated substantially, and each of the three large [PBMs] -- that together control 75% of the market -- is integrated with a large medical insurer. Recent government actions reflect concerns with how these big PBMs conduct their business and closer scrutiny of their parent companies. Here's an overview of these recent government and legislative actions and the potential implications for drug pricing and plan sponsors."  MORE >>

"More than five years into an era with price transparency requirements on the books, TiC data, along with related price transparency efforts ... are still in a lengthy and iterative implementation phase.... Through the proposed rule amendments and related efforts, the Departments are responding to feedback from TiC data users about needed improvements.... [The authors] provide context on the broader array of recent federal price transparency efforts ... summarize the major changes being proposed in the new TiC amendment and discuss their likely effects."  MORE >>

"While common benefits concepts are explained during enrollment, employees rarely understand how they work together. This only occurs when they attempt to use their employer sponsored benefits, often under stress, during a health crisis.... Employers making progress are shifting away from one‑time education and toward ongoing, personalized support that helps employees interpret, anticipate, and navigate their benefits when expectations and reality don't align."  MORE >>

"What's clear from the data is that organizations aren't approaching GLP‑1s casually. They're asking: What's sustainable? What's fair? What's realistic for a company of our size? This article breaks down what employers need to know -- and how the 2026 insights can guide your decision‑making."  MORE >>

"Both Committees may focus on matters left out of the One Big Beautiful Bill Act last year, including Medicare reform, HSA expansion, restrictions on reproductive services, Medicaid penalties and other administrative changes. As a result, these hearings may lead to increased regulatory scrutiny and enforcement activity, including potential investigations related to Medicare and Medicaid billing practices."  MORE >>

"There are only so many tools payers have now to throw at health care costs, and prior authorization is one of them. But in a health system plagued as much by complexity as high costs, it is now public enemy number one for health care consumers ... The serious question we are not asking is whether the benefits it has for short-term cost control for insurers and their clients are worth the costs to patients and health professionals in an already labyrinthian health care system?"  MORE >>

"Employers have long been concerned about the rapid consolidation of health systems and market distortions. Across the country, provider systems are using their dominant positions to impose restrictive and often unfair contractual terms that limit network flexibility, reduce access to high-value providers, and drive up costs without improving quality.... [The Healthy Competition for Better Care Act (HR 6248)] ... would help restore balance to health care markets, strengthen transparency, and improve access to high-value care."  MORE >>

"HHS positions non-network plans as a means of reducing overall healthcare costs. This proposal introduces considerations for state and federal regulators, operational considerations for plans and providers, and pricing implications for those who participate in the ACA Marketplace today. This paper summarizes these key concepts."  MORE >>