CVS Health has designed a new program called RxZERO, which aims to provide affordable medications to individuals living with diabetes without the astronomical out-of-pocket expenses. “Eliminating out-of-pocket costs for diabetes medications ensures long-term affordability, improves adherence and, most importantly, puts patients on the path to better health.” Dr. Troyen A. …
On February 4, 2020, President Donald Trump delivered the 2020 State of the Union Address (SOTU) to a joint session of Congress. A series of topics were presented including private healthcare, federal paid family leave and prescription drug cost reform. These items have already made significant impacts on the employee’ …
CVS Health plans to launch a new insurance product by the end of March 2020. It will absorb the astronomical expenses health plan members experience when undergoing gene therapy. “With prices for a single treatment as high as $2 million, many employers are struggling to find ways to offer coverage …
On December 18, 2019, it was released that New York Life Insurance Co. agreed to pay $6.3 billion for a Cigna Corp. unit that sells non-medical insurance products to employers. New York Life Insurance Co. is one of the nation’s oldest and financially strongest life insurers. As low interest rates …
On June 24, 2019, President Trump signed an executive order aimed at improving price and quality transparency in healthcare. Click here for more information. On November 15, 2019, the Department of Labor (DOL), Health and Human Services (HHS) and the Treasury (Departments) issued a proposed rule regarding transparency in coverage …
On Friday, November 15, 2019, the Trump administration released its final rule regarding hospital price transparency, which will take effect in 2021. What does this new rule mean? Hospitals will now be required to provide easily accessible billing information to patients. This means having all standard charges available online and …
On November 8, 2019, the Department of Labor (DOL) and Health and Human Services (HHS) issued an updated template and related materials for the Summary of Benefits and Coverage (SBC). The following updated materials must be used for plan years beginning on or after January 1, 2021: SBC Template, Uniform …
An EOB is a form that insurance companies send to their members to explain what part of a claim was paid by insurance, what part was not paid and why. Frequently, the terminology and language used on an EOB requires advanced understanding of medical procedure naming conventions and insurance contract …
