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… interests of plan sponsors and participants, similar to how ERISA already treats other service providers. Additionally, PBMs would be required to disclose their compensation, including direct and indirect fees, rebates, discounts, and price concessions. Proponents argue that this increased transparency and fiduciary accountability will help employers better assess whether PBM arrangements are reasonable and aligned with plan cost-management goals. This, in turn, would address longstanding concerns about opaque pricing practices and misaligned incentives in the PBM industry. ICHRA Premium Look-Up Table Updated The affordability of an individual coverage health reimbursement arrangement (ICHRA) is tied to the lowest cost …

… disclosures of protected health information (PHI), and gives individuals certain rights, including the right to timely access to health records and the right to obtain a copy of their health records. The updated HIPAA FAQs address how covered health care providers are permitted to disclose PHI to value-based care arrangements for treatment purposes, and what health information is included in a designated record set and thus subject to the individual’s right to access such information New and Updated FAQs: New. Does the HIPAA Privacy Rule permit a covered health care provider to disclose protected health information to value …

… Affordable Care Act (ACA) Patient-Centered Outcomes Research Institute (PCORI) fees no later than July 31, 2025. Fully insured plan sponsors can rely on their carriers to submit the fee on their behalf, but fully insured plan sponsors that sponsor a self-funded plan component, such as a health reimbursement arrangement (HRA), will need to file and pay for the self-funded component plan. Payment amounts due in 2025 will differ based on the employer’s plan year. The Internal Revenue Service (IRS) provides a chart showing applicable fee amounts depending on the plan’s year-end date. The fees …

… Affordable Care Act (ACA) Patient-Centered Outcomes Research Institute (PCORI) fees no later than July 31, 2025. Fully insured plan sponsors can rely on their carriers to submit the fee on their behalf, but fully insured plan sponsors that sponsor a self-funded plan component, such as a health reimbursement arrangement (HRA), will need to file and pay for the self-funded component plan. Payment amounts due in 2025 will differ based on the employer’s plan year. The Internal Revenue Service (IRS) provides a chart showing applicable fee amounts depending on the plan’s year-end date. The fees …