Compliance Update – Inflation Reduction Act and Impacts on Group Health Plans

The Inflation Reduction Act of 2022 (IRA) included several cost-reduction and benefit-enhancement provisions affecting Medicare Part D plans. The most significant Medicare Part D-related provision that impacts employer-sponsored group health plans is that the annual out-of-pocket (OOP) costs will be capped at $2,000 for individuals with Medicare Part D, starting in 2025. This change may impact the creditable coverage status of employer-sponsored prescription drug coverage beginning in 2025.

Please review our latest Compliance Update for more details.

Recent & Related

Reminder – Q3 Compliance Deadlines

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There are several compliance obligations that employers need to complete throughout the year. The attached compliance summary focuses on key benefit program compliance requirements for the third calendar quarter of 2024. Please note that this summary includes general,...

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The Beacon – April 29, 2024

The Beacon – April 29, 2024

MZQ Beacon Alert - April 29, 2024 In this Edition: "The Consolidated Appropriations Act of 2021 established a new data collection requirement for employers ofall sizes and funding structures, where such entities must now submit annual prescription drug data...

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The Beacon – March 21, 2024

The Beacon – March 21, 2024

MZQ Beacon Alert - March 21, 2024 In this Edition: "On February 14th, 2024, the Department of Health & Human Services (HHS) Office for Civil Rights (OCR) issued two reports regarding Health Insurance Portability and Accountability Act of 1996 (HIPAA) compliance...

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