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5 trends in health plan regulations to watch in new Trump administration
- With a new presidential administration, changes in health plan regulations are a key concern for HR executives.
- The Trump administration's executive orders provide hints about health benefits trends being targeted.
- Changes in regulation trends cover various aspects, from gender-affirming care to transparency in medical billing.
- The administration shows a bias towards consumer-friendly approaches, despite some expectations of being industry-friendly.
- Key areas of focus include gender-affirming care, telehealth HDHP safe harbor, PBM reform, medical billing transparency, and the No Surprises Act.
- The administration aims to reverse federal rules on gender identity and limit youth access to gender-affirming care.
- Employers may need to revisit plan designs and providers evaluate risks due to changes in gender-affirming care regulations.
- Employers should consider applying cost sharing to telehealth services for HDHP participants to safeguard HSA contributions.
- Proposed PBM reforms include banning spread pricing and ensuring full pass-through of manufacturer rebates.
- The administration focuses on hospital price transparency and coverage negotiation transparency to enhance medical billing transparency.
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