The feds say they're still deciding how to handle reference-based pricing but will let plans use it, for now.
Officials also said employers can use last year's templates to create new Summary of Benefits and Coverage notices, and that large-group and self-insured plans can often leave part of the cost of expensive brand-name drugs out of annual out-of-pocket spending calculations.
The officials – at the Centers for Medicare & Medicaid Services, the Employee Benefits Security Administration, and the Internal Revenue Service – have discussed those topics and others in a new set of answers of frequently asked questions about PPACA.
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Allison Bell
Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.
