Quality, Transparency & Consumerism

Updates

protected content 11/15 HRA Rule & Comment Webinar

I hope you are all doing well, and are as glad as I am that the long run-up to the 2018 midterms is finally over! We're working to try and finish off some projects before the end of the year, but there's a lot that could happen (or not happen!) in a lame duck session, so more on that when we have it… More

protected content Health regulation blitz – HRAs and 1332 waivers!

Hopefully, if you are interested in state health innovations waivers under section 1332, which often are accompanied by threats to ERISA plans such as mandatory reinsurance fees, assessments on payers and the like… More

ERIC Victory: President Signs Bill Banning Pharmacy Gag Clauses

ERIC applauds lawmakers and the Administration for coming together and banning so-called “gag clauses” in group health plans and individual market health insurance plans… More

ERIC Works to Make Prescription Drug Costs More Transparent

ERIC sent a letter to the U.S. Senate urging lawmakers to support S. 2554, the “Patient Right to Know Drug Prices Act.” The bill would ban so-called “gag clauses” in group health plans and individual market health insurance plans. These clauses prevent pharmacists from informing a patient that filling a prescription might be cheaper if the patient pays cash, rather than the negotiated copay under their insurance coverage… More

protected content Seattle lawsuit update, Pharmacy gag clause bills advance, FTC biosimilars letter, and more!

This week there has been some progress in ERIC’s lawsuit to have Part 3 of the Seattle hotel health care mandate ruled preempted by ERISA. On September 5, ERIC and the City of Seattle agreed to this order, which was subsequently filed for approval with Judge Zilly. Under the terms of the order, the City will get an extension on their deadline to file a response to our initial complaint. In exchange, the City will not enforce Part 3 of the law, which is the part that mandates hotels of a certain size provide gold-level coverage (80% actuarial value) at a very high affordability threshold (no more than 5% of income)… More

See All Updates

ERIC Surveys

protected content Survey on Balance Billing

ERIC surveyed members to learn where they stand on balance billing proposals, and whether they might support turning the tables and instead placing requirements on the providers who are sending these balance bills to patients… More

More ERIC Surveys

Legislative Documents

protected content What to Do with the ACA?  Review of Republican Alternative

Three Congressional Republicans, Sen. Orrin Hatch (R-UT), Chair of the Senate Finance Committee, Sen. Richard Burr (R-NC), and Rep. Fred Upton (R-MI), Chair of the House Energy and Commerce Committee, on February 5 released a narrative of their ideas for an alternative to the Affordable Care Act (ACA). … More

protected content Review of Health Provisions Included in President Obama’s FY 2016 Budget

Today the president released his proposed budget ideas for Fiscal Year 2016, which starts this coming October 1. From my vantage point … More

Senate Finance Committee Seeking Ideas to Improve Health Care Transparency

Senate Finance Committee Chairman Ron Wyden (D-OR) and former Chairman and Ranking Member Charles Grassley (R-IA) released a letter urging all stakeholders to submit to the committee ideas that will enhance the availability and utility of health care data, while maintaining and protecting patient privacy. … More

More Legislative Documents

Letters to Congress

ERIC Victory: President Signs Bill Banning Pharmacy Gag Clauses

ERIC applauds lawmakers and the Administration for coming together and banning so-called “gag clauses” in group health plans and individual market health insurance plans… More

ERIC Works to Make Prescription Drug Costs More Transparent

ERIC sent a letter to the U.S. Senate urging lawmakers to support S. 2554, the “Patient Right to Know Drug Prices Act.” The bill would ban so-called “gag clauses” in group health plans and individual market health insurance plans. These clauses prevent pharmacists from informing a patient that filling a prescription might be cheaper if the patient pays cash, rather than the negotiated copay under their insurance coverage… More

protected content HHS Nominee Hearing Coming, End-of-Year Health Care Legislation, HSA Action, and More

On November 29 at 9:30am, the Senate Health, Education, Labor and Pensions (HELP) Committee will hold a hearing on Alex Azar’s nomination to be Secretary of Health and Human Services (HHS). The Committee hearing is a “courtesy hearing”—it will not be a vote on Azar’s nomination (the Senate Finance Committee is the one that will have to report Azar out to the Senate floor). Azar’s nomination to fill the vacancy left by Secretary Tom Price was announced on November 13 by President Trump… More

More Letters to Congress

Press Releases

ERIC Victory: President Signs Bill Banning Pharmacy Gag Clauses

ERIC applauds lawmakers and the Administration for coming together and banning so-called “gag clauses” in group health plans and individual market health insurance plans… More

More Press Releases