Apr 4, 2023 | Caroline Fraker, Carve-outs, Compliance, Cost Savings, Dialysis, MedBen University, Regulatory, Savings, Supreme Court
At this year’s MedBen University roundtables, Senior Vice President & CPO Caroline Fraker provided an eye-opening example of why the June 2022 United States Supreme Court decision in the matter of Marietta Memorial Hospital Employee Health Benefit Plan v....
Apr 3, 2023 | Lawsuits, News, Ohio, Pharmacy Benefits Manager (PBM), Prescription, Regulatory, State legislation
Ohio Attorney General David Yost has sued pharmacy benefit managers (PBMs) Express Scripts and Prime Therapeutics for conspiring to illegally increase prescription drug prices and force pharmacies to accept low reimbursement rates. Cigna Group and Humana were also...
Mar 17, 2023 | Compliance, HIPAA, Privacy, Regulatory
Following news that digital health companies GoodRx and BetterHelp shared sensitive user information with advertisers, the Federal Trade Commission (FTC) has requested funds for ensuring health privacy in its 2024 budget proposal. The budget request sites merger...
Mar 7, 2023 | Compliance, Direct-to-Employer Contracting, Inflation, MedBen University, Member engagement, Regulatory, Roundtables, Specialty Drugs, Supreme Court, Webinars
A reminder: MedBen University will soon be in session! Throughout March, MedBen University (MBU) will be conducting virtual employer roundtables. These free webinars will discuss current benefit management issues and proven solutions available your health plan,...
Feb 15, 2023 | Compliance, Independent Dispute Resolution (IDR), Lawsuits, News, No Surprises Act (NSA), Regulatory
Independent Dispute Resolution (IDR) review decisions have been placed on hold due to a lawsuit brought forth by the Texas Medical Association (TMA). The lawsuit challenges the Final Rules of the No Surprises Act, specifically those relating to how the Qualified...
Feb 7, 2023 | Announcements, Compliance, COVID-19, Regulatory
On Monday, January 30, 2023 the Biden Administration announced that both the National Health Emergency and the HHS Public Health Emergency will end on May 11, 2023. The news came in the form of a statement of administration policy typically issued in response to...
