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Indiana Department of Insurance now requires pharmacy benefit managers to obtain license

Indiana Department of Insurance now requires pharmacy benefit managers to obtain license
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Indiana Department of Insurance Now Requires Pharmacy Benefit Managers to Obtain a License

Indianapolis – The Indiana application for Pharmacy Benefit Managers is now live and all Pharmacy Benefit Managers must now apply for licensure. Pharmacy Benefit Managers (PBMs) are third party companies that offer pharmacy benefit management services and function as intermediaries between health pl

CMS adopts payment provisions to lower costs in the 2022 marketplace

(Photo courtesy HealthCare.gov) The Centers for Medicare and Medicaid Services has adopted new provisions to lower maximum out-of-pocket costs by $400 in the federal health insurance marketplaces in 2022. The payment notice finalizes a maximum annual limitation on cost-sharing in the ACA market that is $400 below what CMS proposed in November 2020. CMS filed the Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2022 and Pharmacy Benefit Manager Standards today, April 30, that is scheduled to be published on May 5. This is the second payment notice of the year, since CMS announced it would be finalizing the payment notice in multiple phases. The first 2022 payment notice final rule was released in January 2021. 

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