Learn how Express Scripts by Evernorth can help plans succeed in the complex world of government-regulated health care

October 8, 2024

marketplace medicaid Medicare

The world of Regulated Markets is constantly changing. Express Scripts by Evernorth offers the expanded capabilities you need to succeed in today’s regulated space by turning insightful data into innovative solutions that drive affordability and opportunities for better member outcomes.

Watch now: https://bit.ly/3swVK23

legislation

House Judiciary Subcommittee Holds Hearing on the Role of PBMs

On Sept. 11, the House Judiciary Subcommittee on the Administrative State, Regulatory Reform, and Antitrust held a hearing titled, “The Role of Pharmacy Benefit Managers,” featuring academic witnesses. The hearing focused on transparency, affordability, and access, as well as the relationship between PBMs and independent pharmacies. Witnesses highlighted the critical role of PBMs in the […]
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October 8, 2024

EGWP marketplace medicaid Medicare

Initiatives

House Education and the Workforce Committee Holds Hearing in Honor of ERISA 50th Anniversary

On Sept. 10, the House Education and Workforce Subcommittee on Health, Employment, Labor, and Pensions held a hearing titled, “ERISA’s 50th Anniversary: The Value of Employer-Sponsored Health Benefits.” Policy experts and advocates representing large employers, small business owners, and consumers discussed potential ways to strengthen the Employee Retirement Income Security Act (ERISA) and employer-sponsored coverage. […]
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October 8, 2024

EGWP Medicare

legislation

Alaska Governor Approves PBM Regulation

After delaying a decision for several months, Alaska Gov. Mike Dunleavy (R) signed HB 226, an anti-PBM bill that passed by the legislature earlier this year. The bill contains problematic language that could ultimately raise costs and reduce choice for employers and consumers. Those provisions include restrictions on the use of white bagging and home […]
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October 8, 2024

EGWP marketplace medicaid Medicare

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Solutions

AFHC Sends Letter to Congress in Support of HDHP Reforms

The Alliance to Fight for Health Care (AFHC), of which The Cigna Group is a founding member, sent a letter to House Leadership on Sept. 17 to urge passage of legislation to provide flexibility to provide chronic disease preventive care pre-deductible. AFHC highlighted H.R. 3800, the Chronic Disease Flexible Coverage Act, bipartisan legislation that would […]
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October 8, 2024

EGWP marketplace medicaid Medicare

Solutions

Medicare Prescription Payment Plan (M3P) Educational Overview

With Open Enrollment right around the corner, Medicare eligible members can begin opting in to the Medicare Prescription Payment Plan (M3P). Discover more about the M3P program and how Express Scripts by Evernorth supports clients with a solution. Watch now: https://bit.ly/47yF5vf
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October 8, 2024

Medicare

Guidance

Inflation Reduction Act (IRA) Educational Resources

As a means of providing additional support to our clients, the following videos and companion guides have been created to provide education and awareness to agent/brokers and customer service. This content is designed to be an educational resource for these key stakeholders to highlight recent and upcoming changes to the Medicare Part D program. This […]
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August 21, 2024

Medicare

perspectives

What impact will the Inflation Reduction Act have on health plans?

Plan sponsors should be aware of the effects the law will have on Medicare Part D over the coming years.
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March 6, 2024

EGWP marketplace medicaid Medicare