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.
Congress passed two bills to reduce the burden of employer reporting related to the Affordable Care Act that President Biden signed into law on December 23, 2024. While small, these bills pack a big punch as they significantly reduce the employer (and carrier) responsibilities for Form 1095-C (and Form 1095-B) reporting.
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 […]
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.