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Compliance is always a challenge, but this holiday season, plan sponsors face a particular problem in the form of the new gag clause attestation requirement created by the Consolidated Appropriations Act of 2021 (CAA).
The CAA prohibited plan sponsors from entering into an agreement containing gag clauses after December 27, 2020. Plan sponsors must attest to CMS by December 31, 2023, that they have not entered into such agreements.
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Bringing a procurement partner into the benefits planning process can offer greater insight and negotiation power, helping to reduce overall costs.
The practical takeaway is to treat data-sharing requests as a risk-allocation exercise, not just an operational convenience.
As the scope of gene therapy grows, understanding their impact and cost can help organizations decide how to cover them through their healthcare plans.
Replacing legacy brokerages with a fiduciary model will secure the data environment so that a thorough investigation of the plan's performance can begin.
A look at what the Medicare GLP-1 Bridge Program covers, what it doesn't, and what plan sponsors need to know.
