Earlier this month, the IRS issued guidance on the health savings account (HSA) changes enacted as part of the One Big Beautiful Bill Act (OBBBA). While the guidance does not significantly alter the provisions announced when the law was passed in July, it does provide helpful details on how the new rules will be applied ...
The U.S. Food and Drug Administration gave employers a new pharmacy benefits worry Monday by approving a tablet version of Wegovy. Novo Nordisk, the manufacturer, said it plans to begin a full U.S. product launch for Wegovy tablets in early January. The introductory price for cash-pay patients will be $149 per month for a one-month ...
The Trump administration has unveiled yet another new payment model, this one focused on the cost of GLP-1 therapies. The Centers for Medicare & Medicaid Services (CMS) on Tuesday announced the Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth, or BALANCE, model. The program seeks to make it easier for Medicare Part D plans and Medicaid ...
Federal agencies are hoping that they can make health plans’ price transparency reports easier to file and easier for ordinary computer users to use. The agencies are preparing to post new draft “Transparency in Coverage” program regulations Tuesday. The TiC reports are supposed to be public, and they are supposed to show what health insurers ...
Lawmakers have introduced a bipartisan bill that could apply Employee Retirement Income Security Act fiduciary requirements to employer health plans’ pharmacy benefit managers. The bill, the PBM Fiduciary, Accountability, Integrity and Reform Act, or PBM FAIR Act, would add a PBM fiduciary section to ERISA section 3(21), according to a version of the text posted by Sen. Roger ...
A key GOP senator is expressing optimism that Republicans and Democrats will agree to a deal that would extend expiring health care subsidies, but the effort faces an uphill climb in winning the backing of leaders in both parties. Without a deal, health insurance premiums are projected to spike by double digits next month, yet ...