May 19, 2025
The Centers for Medicare and Medicaid Services (“CMS”) previously released updated Prescription Drugs DataCollection (“RxDC”) reporting instructions related to reporting 2024 data; there are no […]
GOLDMARK BENEFITS
Learn more about the Employee Benefit Plan industry, news, updates, issues, and other topics related to group insurance plans.
May 19, 2025
The Centers for Medicare and Medicaid Services (“CMS”) recently released final instructions addressing the Medicare Part D prescription drug benefit redesign changes effective beginning in 2026. The instructions:
Revise the existing Simplified Method for determining the creditable (or non-creditable) status of prescription drug
coverage provided under an employer-sponsored group health plan
Allow group health plans to use the existing Simplified Method or the Revised Simplified Method to determine creditable status of prescription drug coverage in 2026.
May 19, 2025
On April 15, 2025, President Trump issued an Executive Order (EO 14273) directing federal agencies to propose regulations or make recommendations to provide access to […]
April 8, 2025
On March 10, 2025, the Department of Health and Human Services (“HHS”) released the Patient Protection and Affordable
Care Act; Marketplace Integrity and Affordability Proposed Rule (“Rule”). While much of the Rule is focused on individual and small group Marketplaces, a few key changes may indirectly impact employer sponsored plans.
April 8, 2025
Employers offering wellness programs with tobacco surcharges should monitor developments as these lawsuits progress. They should also review their program to ensure it meets the requirements under the HIPAA nondiscrimination rules.