Archived Insight | November 8, 2018

New Laws Allow Pharmacists to Discuss Drug Costs

On October 10, 2018, President Trump signed into law two bills that ban pharmacist “gag clauses,” sometimes included in contracts between pharmacies and pharmacy benefit managers (PBMs), which prohibit pharmacists from telling patients the price of drugs purchased without health insurance. Plan sponsors will need to take steps to ensure that their PBMs are in compliance with these new laws.

New Laws Prohibit Restrictions on Pharmacists Discussing Drug Costs with Patients

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Female Counselor Gives Female Client Advice

Help Your People Get the Most from Mental Health Benefits

A practical webinar for plan sponsors on improving mental health benefits engagement through plan design, workplace culture and communications.

Communications, Architecture Engineering & Construction, Healthcare Industry, Higher Education, Public Sector, Multiemployer Plans, Corporate, Health

Nurse Talking To Senior Woman In Hospital Bed

Medical Stop-Loss Premiums Increase Nearly 13%

Rising stop-loss premiums and more high-cost claims are reshaping risk for self-funded plans — see key trends from Segal’s 2026 dataset.

Health, Multiemployer Plans, Public Sector, Healthcare Industry, Higher Education, Architecture Engineering & Construction, Pharmaceutical, Corporate

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Business Consultation With Lawyer At Office

Final Rule on Independent Dispute Resolution Operations

The final rule updates IDR operations under the No Surprises Act — with new requirements for claims processing, negotiations and plan compliance.

Health, Compliance, Public Sector, Multiemployer Plans, Healthcare Industry, Higher Education, Corporate

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This page is for informational purposes only and does not constitute legal, tax or investment advice. You are encouraged to discuss the issues raised here with your legal, tax and other advisors before determining how the issues apply to your specific situations.