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Latest news & insights

The Federal Trade Commission’s recent settlement with Express Scripts (ESI) marks one of the most significant regulatory interventions in the pharmacy benefit manager (PBM) space in years. For employers, the agreement may signal a broader shift in the industry toward true net-cost drug pricing models, with potential implications for pharmacy benefit design, budgeting, and future PBM contracting. FTC settlement with Express Scripts signals major shift in PBM pricing

FTC settlement with Express Scripts signals major shift in PBM pricing

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The Federal Trade Commission’s (FTC) recent settlement with Express Scripts (ESI) marks one of the most significant regulatory interventions in the pharmacy benefit manager (PBM) space in years. While the FTC’s lawsuit originally focused on insulin pricing pr ...
Read moreFTC settlement with Express Scripts signals major shift in PBM pricing

First quarter state law overview: Continued litigation, enforcement activity and other updates

This state law update highlights key legal and regulatory developments affecting employee benefits and healthcare access. During the first quarter of the year, regulators and enforcement authorities continued to shape the benefits landscape primarily through ongoing litigation and targeted regulatory actions rather than new, sweeping legislation. This state law update highlights key legal and regulatory developments affecting employee benefits and healthcare access. During the first quarter of the year, regulators and enforcement authorities continued to shape the benefits landscape primarily through ongoing litigation and targeted regulatory actions rather than new, sweeping legislation.

Upcoming key compliance deadlines & reminders for second quarter 2026

The second quarter of 2026 brings a few employee benefits compliance deadlines that plan sponsors should note and prepare for in advance. This alert highlights key filing, notice, contribution, and reporting obligations commonly applicable during the April-June timeframe, including ERISA plan filings, health plan reporting, and HSA-related actions.The second quarter of 2026 brings a few employee benefits compliance deadlines that plan sponsors should note and prepare for in advance. This alert highlights key filing, notice, contribution, and reporting obligations commonly applicable during the April-June timeframe, including ERISA plan filings, health plan reporting, and HSA-related actions.

States are trying to regulate pharmacy costs. Can they override federal law?

For over 50 years, the Employee Retirement Income Security Act (ERISA) has served as the foundation around which employer benefit plans are built. That foundation, however, has shown cracks in recent years as the cost of healthcare continues to rise and many states try to take regulatory matters into their own hands. For over 50 years, the Employee Retirement Income Security Act (ERISA) has served as the foundation around which employer benefit plans are built. That foundation, however, has shown cracks in recent years as the cost of healthcare continues to rise and many states try to take regulatory matters into their own hands.
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