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News & Updates

Capital Blue Cross: Employer Newsletter – April 2026

  • On April 14, 2026
Why smart employers play the long game with pharmacy strategy When it comes to pharmacy benefits, the pressure to chase the latest solution can be intense and costly. But the employers who come out ahead aren’t necessarily the ones who move fastest. Instead, they’re asking better questions and demanding better data. Our VP of Pharmacy […]
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Highmark: Annual Medicare Secondary Payer (MSP) and Medical Loss Ratio (MLR) Employee Count Survey 

  • On April 14, 2026
This communication is intended for producers with business in Delaware, New York, Pennsylvania, and West Virginia.   Are my clients affected? Highmark is required to collect employee counts annually to comply with Medical Loss Ratio and Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007. This is to make you aware that the 2026 MSP/MLR Employee Counts Survey […]
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UnitedHealthcare/ Oxford: Network Negotiations with Lehigh Valley Health Network

  • On April 8, 2026
Lehigh Valley Health Network (LVHN) issued a notice to end UHC’s contract and is demanding a more than 20% price hike in one year UHC is actively negotiating with LVHN to renew their network relationship for people enrolled in UnitedHealthcare employer-sponsored commercial plans and the Veteran Affairs Community Care Network (VACCN). Their goal is to […]
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HR Insight: Building a Resilient Workforce in 2026

  • On April 7, 2026
  • ADA, FMLA, MHPAEA
As employers move further into 2026, workforce resilience has evolved from a cultural goal into a business imperative. Ongoing labor pressures, rising healthcare costs, increased regulatory scrutiny, and heightened employee expectations are converging simultaneously. April presents a strategic opportunity for organizations—particularly those operating in Pennsylvania and New Jersey—to reassess HR infrastructure, benefits strategy, and compliance […]
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Executive Order Addresses DEI Discrimination by Federal Contractors

  • On April 7, 2026
On March 26, 2026, President Donald Trump issued an executive order (EO) titled “Addressing DEI Discrimination by Federal Contractors,” which will require all federal contracts and similar instruments to include a clause prohibiting federal contractors from engaging in racially discriminatory diversity, equity, and inclusion (DEI) activities. The Trump administration also issued a fact sheet regarding the […]
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AmeriHealth: Market Edge Week of April 2

  • On April 7, 2026
All Group Business We can’t wait to see you at NABIP! If you attend the NABIP New Jersey Annual Conference at Caesars in Atlantic City from May 4 to 6, be sure to stop by the AmeriHealth booth and say hi! We will be located at sections 800 and 802. Also, don’t miss our continuing education courses, All Things […]
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Highmark: Producer Experience Updates

  • On April 7, 2026
This communication is intended for producers with business in Delaware, New York, Pennsylvania, and West Virginia.   Producer of Record (POR) Update  POR letter templates and the process have been updated – Changes are not applicable to clients in Delaware.
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Wellness Programs Compliance Overview

  • On March 31, 2026
  • ADA
Workplace wellness initiatives commonly use incentives or rewards to encourage healthier behaviors and reduce habits that may negatively affect employees’ well-being. When a wellness program is connected to a group health plan, it must follow the nondiscrimination requirements established under HIPAA. These rules permit employers to offer incentives, if the program adheres to specific conditions. […]
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Aetna: March 2026 Newsletter

  • On March 31, 2026
Recognized for our commitment Aetna® is proud to have been named Press Ganey’s Health Plan of the Year – recognizing excellence in member experience and quality performance. Learn about our recognition.
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Horizon BCBSNJ: Legacy Broker Portal Sunsetting April 1, 2026

  • On March 31, 2026
Applies to: All Commercial markets As part of Horizon’s modernization efforts, the legacy broker portal will be sunset on April 1, 2026. All remaining legacy portal tools, including the Delinquency Report and Underwriting Guidelines, were fully migrated to the new Broker Portal in February.
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Highmark: April 2026 Formulary Overview – Prescription Drug Management Updates

  • On March 31, 2026
This communication is intended for producers with business in Delaware, New York, Pennsylvania, and West Virginia. Highmark wants to ensure our members get safe and cost-effective treatment options. We regularly review the most current research and make necessary adjustments to formularies for member safety and cost effectiveness. Highmark Pharmacy Services is implementing changes on April 1, […]
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