Pharmacy Costs Are Changing: What Employers Need to Know
In a new article, Robert Deninno, the Founding Principal of Precision Benefits Group, explains why TrumpRx and Mark Cuban’s Cost Plus Drugs are creating new conversations around prescription drug pricing for employers. As transparent, pass-through pharmacy models gain momentum, employers have an opportunity to evaluate potential savings and rethink their pharmacy benefit strategy. Click to read more and learn the key trends, risks, and action steps to consider over the next 60 days.
Provider Network Update: Advocare
Cigna is currently negotiating a new contract with Advocare, a large regional physician group. Members who have recently used Advocare providers may receive a notification from Cigna regarding the possibility of network changes if an agreement is not reached before the current contract expires in July. Negotiations are ongoing, and no changes have been finalized at this time.
AmeriHealth & Independence Blue Cross Portal Enhancements
AmeriHealth and Independence Blue Cross have introduced enhancements to their Group Portal payment systems designed to simplify online billing and payment management. The updates provide a more streamlined user experience, improved account visibility, and easier access to information across multiple funding arrangements. These enhancements aim to make day-to-day benefits administration more efficient for employers and brokers.
Cigna July 2026 Clinical Drug Updates
Effective July 1, 2026, Cigna Healthcare will implement updates to its National Preferred Formulary as part of its ongoing effort to improve affordability and optimize pharmacy benefit performance. Members affected by these changes will receive direct communications from Cigna. Employers should be aware that some medications may have updated coverage requirements, formulary status changes, or alternative treatment options available.
UnitedHealthcare 2026 Health Trends Report
UnitedHealthcare has released its 2026 Health Trends Report, offering valuable insights into the healthcare landscape and the factors driving employer health plan costs. Drawing from extensive claims data and clinical expertise, the report examines emerging trends, utilization patterns, and benefit considerations that may impact employer-sponsored health plans. A summary article highlighting key takeaways will be shared in an upcoming edition.
IRS Announces 2027 HSA & HDHP Limits
The IRS has released the 2027 Health Savings Account (HSA) contribution limits and High-Deductible Health Plan (HDHP) requirements. HSA contribution limits will increase to $4,500 for self-only coverage and $9,000 for family coverage, while the $1,000 catch-up contribution remains unchanged. Employers offering HSA-qualified plans should review the updated HDHP deductible and out-of-pocket maximum requirements as they begin planning for 2027 benefits and enrollment strategies.
Compliance Corner! IRS Releases Employer Mandate Penalties for 2027
The IRS has announced updated Employer Shared Responsibility (ESR) penalty amounts for the 2027 calendar year. Applicable Large Employers (ALEs)—those with 50 or more full-time employees and equivalents—may face increased penalties if they fail to offer affordable, minimum-value health coverage to eligible employees. Employers should review plan affordability, confirm compliance with ACA requirements, and monitor upcoming guidance regarding the 2027 affordability threshold.