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Where’s the Healthcare Money Made? Pharmacy

It’s no secret that pharmacy spend has exploded in the last several years. Prescription drug costs are approaching, or in some cases exceeding, 30% of their total claims spend – a dramatic increase from less than 10% two decades ago. The large health insurance carriers have all integrated with large pharmacy benefit managers (PBMs) and the major consulting firms have built out specialty pharmacy consulting practices or coalitions. Increasingly, most of the healthcare money is being made in pharmacy. This is a critical fact that each of our clients must understand or they risk overspending on their benefits plan. Viewpoints …

https://www.epicbrokers.com/insights/wheres-the-healthcare-money-made-pharmacy/

EPIC Pharmacy Team Delivers the State of Specialty Drug Spend

Specialty Spend Is on the Rise Again EPIC recently unpacked everything you need to know about the state of specialty, with a specific focus on biosimilar and specialty generics. We continue to see double-digit increases in per member per year cost for specialty drugs, and nearly 40% of that spend occurs in the medical benefit. Rigorous management across both benefits is critical to managing overall specialty spend. This webinar uncovered what is driving increased spend and what you can do about it.  Agenda: Deeper dive into specialty spend and what you can do about it Emerging trends in biosimilar …

https://www.epicbrokers.com/insights/epic-pharmacy-team-delivers-specialty-drug-trends/

EEOC Updates on COVID-19 Vaccine Incentive Programs

… to determine whether labor and employment laws impose additional requirements not mentioned by the EEOC. In some circumstances, Title VII and the ADA require employers to provide reasonable accommodations for employees that do not get a COVID-19 vaccine. The ADA requires employers to offer a reasonable accommodation when an employee has a disability. In addition, Title VII requires employers to provide a reasonable accommodation for employees with a sincerely held religious belief, practice or observance. However, the laws do allow employers to avoid offering a reasonable accommodation if it can demonstrate that providing an accommodation would pose an undue …

https://www.epicbrokers.com/insights/eeoc-updates-on-covid-19-vaccine-incentive-programs/

Uncovering Barriers to Productivity in the Workplace

EPIC Employee Benefits Advisor John Court Partners with Mental Health America for Well2Work Webinar  Join EPIC and Mental Health America of Northeast Indiana June 17 to hear more about what your employees aren’t telling you.  Mental Health America has created an incredible education program that goes by Well2Work. It provides virtual and in-person training to employers seeking evidence-informed ways to increase their employees’ productivity, engagement, empathy, and resilience. EPIC is proud to have John Court present his first-hand experience leveraging Well2Work with his clients who have seen incredible results from the program. John has seen how …

https://www.epicbrokers.com/insights/uncovering-barriers-to-productivity-in-the-workplace/

IRS Releases Guidance on COBRA Subsidies and Tax Credits

On May 18, 2021, the Internal Revenue Service (IRS) issued Notice 2021-31 providing information about the Consolidated Omnibus Budget Reconciliation Act (COBRA) continuation coverage subsidies created by the American Rescue Plan Act (ARPA). Notice 2021-31 addresses a range of issues pertinent to assisting employers, plan administrators and insurers with understanding the COBRA subsidies and associated tax credits. The IRS notice consists of a background explanation of the ARPA COBRA subsidies and a series of 86 questions and answers (Q&As) with some examples. The notice explains and provides guidance on topics such as the calculation of the credit …

https://www.epicbrokers.com/insights/irs-releases-guidance-on-cobra-subsidies-and-tax-credits/

Market Pulse Survey: FFCRA Sick Pay Extension Requirement

… on December 31, 2020. However, several states enacted laws similar to the federal legislation to provide COVID-19-paid sick leave to employers with 500 or more employees. Take our survey to see how other companies handle extending the two-week sick pay requirement. THIS SURVEY HAS NOW CLOSED 2021 Employee Benefits Compliance Webinar Series The employee benefits compliance landscape is in a state of constant change. EPIC believes that timely, accurate communication regarding impactful changes – and the resulting requirements, exposures and opportunities – is a chief responsibility for employee benefits brokers, consultants and professional advisors. Upcoming Webinar Thursday, July 8 …

https://www.epicbrokers.com/insights/ffcra-sick-pay-extension-requirement-pulse-survey/

IRS Provides Clarification on DCAPs in 2021 and 2022

… or the expected $5,000 limit in 2022. The general rule for DCAPs is that employees may be reimbursed up to $5,000 per calendar year (or up to $2,500 for individuals who are married but filing separately) without having to include it in their taxable income. If the employee has money left over at the end of the plan year and takes advantage of a 2½ month grace period, any amount reimbursed above $5,000 during the calendar year must be included in taxable income. With this general rule in place, employers were unsure how to handle the …

https://www.epicbrokers.com/insights/irs-provides-clarification-on-dcaps-in-2021-and-2022/

IRS Releases Additional COBRA Subsidy Guidance

Quick Facts The IRS issued Notice 2021-31, which includes significant guidance on the American Rescue Plan Act of 2021 (ARPA) Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidy. The guidance is clear that reductions in force, terminations for cause, layoffs, and other related terminations are to be treated as an involuntary termination. The guidance clarifies that the subsidy is available for all types of COBRA coverage except for health flexible spending accounts (FSAs). The Notice provides detailed guidance on how employers will recover premium assistance payments against their payroll tax liability. The process is similar to the credit taken for …

https://www.epicbrokers.com/insights/irs-releases-additional-cobra-subsidy-guidance/