News Briefs

Cigna Corp. will offer Affordable Care Act marketplace plans in three new states during the upcoming open enrollment period, the insurer said on Aug. 26. Those three states are Georgia, Mississippi and Pennsylvania, and the insurer also plans to offer coverage in additional counties in Arizona, Florida and Virginia. If regulators approve the marketplace expansion, Cigna will offer individual and family plans on the exchanges in 313 counties spanning 13 states. The company also noted that its new markets “have the potential to reach approximately 1.5 million additional customers.”

Just days after the Pharmaceutical Care Management Association (PCMA) and the U.S. Chamber of Commerce filed suit against a regulation requiring health plans and PBMs to report historical net prices of prescription drugs, the Biden administration issued guidance that says the provision won’t be enforced pending further rulemaking. In guidance issued on Aug. 20, HHS and the Labor and Treasury departments also said they will delay by six months the enforcement date of the rule’s requirement to publish negotiated rates with in-network providers and historical allowed amounts to out-of-network providers in machine-readable files. PCMA and the Chamber filed lawsuits challenging all of the requirements that plans and PBMs must publish machine-readable pricing data — provisions that were set to go into effect on Jan. 1, 2022.

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AIS Health Staff

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