Author name: jamesbrogdon

2020 Standard Benefit Plan for Medicare Part D Prescription Drug Plans

Each plan that offers prescription drug coverage through Medicare Part D must give at least a standard level of coverage set by Medicare, as shown in the chart below. Plans can vary the list of prescription drugs they cover (called a formulary) and how they place drugs into different “tiers” on their formularies, as well

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COVID-19 Monday Update

Congress Congress approved a $2 trillion emergency package to help millions of American workers and businesses survive the effects of the novel coronavirus pandemic gripping the country. Here is a summary of H.R. 748, the Coronavirus Aid, Relief and Economic Security (CARES) Act, and here is NAHU’s official statement on the CARES Act. Could there be a “Phase 4” coronavirus response? Administration CMS

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Medicare Fact Sheet: Deciding Whether to Enroll in Medicare Part A and Part B When You Turn 65

How will this Fact Sheet help me? As you near age 65, you have to make several important decisions about your Medicare coverage. These decisions can be confusing and can take some time to make. This fact sheet will help you: Determine your Initial Enrollment Period Decide whether to enroll in Medicare Part A and

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UHC COVID-19 Employer Resources

Please refer to the United Healthcare website for the most up to date materials. Link for Employers: https://www.uhc.com/employer Link for Plan Participants & Employees: https://www.uhc.com/health-and-wellness/health-topics/covid-19 Clinical: Download clinical FAQs (pdf) Federal guidance: Download federal guidance FAQs (pdf) Member support: Download member support FAQs (pdf) Testing: Download testing FAQs (pdf) Pharmacy coverage: Download pharmacy coverage FAQs (pdf) Special enrollment: Download

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Anthem BCBS Offering (limited!) Special Enrollment Period due to COVID-19

Key Points from Anthem Conference Call March 23, 2020 Please check Anthem’s website for the most up to date information: https://www.anthem.com/coronavirus An official communication from Anthem should be sent to plan administrators, but we’re providing a quick update from Anthem’s March 23rd conference call.  The following applies to Anthem’s fully insured plans – Self funded

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CVS moving to change healthcare: A timeline since the Aetna acquisition

Nov. 28, 2018. CVS Health closes its $69 billion acquisition of Aetna. Jan. 9. Mr. Merlo says CVS will kick-start specialized services for Aetna members with cardiovascular disease and pilot a readmission prevention program. Jan. 14. CVS announces it will spend $100 million over the next five years on community health initiatives in three categories: improving local access to affordable, quality care; impacting public

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Integrated Healthcare can lower costs and improve outcomes

“In light of rising health care spending, benefits are evolving from simply providing coverage to fully integrated care coordination with one-on-one advocacy,” said Kevin Cassidy, president of Employer Solutions for Blue Cross and Blue Shield in a recent article. “More employers are looking for plans that further integrate pharmacy and behavioral health programs in an effort to

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