Health Care

GLP-1 Drug Coverage Continues to Rise in Canada 

Rebecca Plier
 

New Survey Data Reveals Prior Authorization or Other Utilization Management Strategies, Eligibility Requirements, Annual Maximum as Leading Cost Control Methods  A new survey report from the International Foundation of Employee Benefit Plans reveals updated Canadian employer coverage and cost-control mechanisms surrounding glucagon-like […]

GLP-1 Drugs Responsible for Over Ten Percent of Annual Claims 

Rebecca Plier
 

New Survey Data Reveals Rise of GLP-1 Drug Claims, With Utilization Management and Eligibility Requirements as Leading Cost-Control Mechanisms   A new survey report from the International Foundation of Employee Benefit Plans reveals updated U.S. employer coverage and claims representation surrounding glucagon-like peptide-1 […]

Mental Health Parity: Four Compliance Documents to Reference During Period of Nonenforcement for the 2024 Final Rule

Jenny Gartman, CEBS
 

The Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury announced on May 15, 2025 that they will not enforce the portions of the 2024 final rule implementing the nonquantitative treatment limitation (NQTL) comparative analyses requirements under the Mental Health Parity […]

2025 Employee Benefits Reporting and Disclosure Calendars

Jenny Gartman, CEBS
 

Plan sponsors and administrators are encouraged to reference these comprehensive calendars to stay on track in 2025. Health and Welfare Plans Retirement Plans Defined Contribution Plans Defined Benefit Plans If you thought this information was helpful, and you’re an International Foundation or […]

Mental Health Parity Pitfall to Avoid: Network Adequacy Data Part II

Jenny Gartman, CEBS
 

The Department of Labor (DOL) Employee Benefits Security Administration (EBSA)’s 2024 Mental Health Parity and Addiction Equity Act (MHPAEA) report to Congress, issued January 17, 2025, addressed the enforcement approach to nonquantitative treatment limitations (NQTLs) for network adequacy and network composition. The […]