TALON – The Nest
Engaging, Informing, Empowering – Your Monthly Look at the Latest Industry News and Other Developments from TALON

TALON – The Nest

TALON in the News

Talon and TALON

Parents everywhere understand the importance of instilling confidence in their children. However, one Iowa father is on a mission to boost his son, Talon’s, perception and self-esteem regarding his name. While Talon is certainly a non-traditional name, we can’t help but agree that it’s unique and stands out from the crowd. Plus, imagine how exciting it would be to have organizations around the country representing your name on all kinds of swag items and t-shirts!

Talon's father reached out to TALON to see if we could provide some swag for his son, and we were more than excited to provide him with some branded items to wear.

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Industry Hoots

Five Ways to Improve Employee Benefits Education & Engagement

Leadership should view open enrollment as an opportunity to boost employee engagement and increase participation in crucial programs that will help them be healthier and happier. When employees know their organization has prioritized health and wellbeing programs, they’re more engaged, motivated, and productive, leading to better business outcomes and a thriving culture.

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Hospital Pricing Information Consistent Between Transparency In Coverage (TiC) Data And Other Commercial Data Sources

Recently, discrepancies have been identified between TiC data and the actual commercial claims for several small self-insured employers. However, it remains unclear whether prices disclosed in TiC data sets are comparable to prices disclosed in other national data sets. Considering congressional interest?in codifying price transparency regulation into law, it is important to compare the TiC pricing information to existing sources of such information and ask whether the TiC data appear valid.

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Bloggers Burrow

The Next Step for Transparency – PBM Reform

As we close another year and look ahead to the impending final rollout phase of the Transparency in Coverage Rule (TiC), it’s the perfect time to reflect on what has been accomplished. We are only now beginning to get a glimpse into the long-term effects and cost savings potential of the rule. This has been a long time coming and certainly a cause for celebration, but the fight isn’t over, and we have many miles to go in the journey of creating affordable and accessible healthcare for all. So, what’s the next step?

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TALON on the Road ?

The TALON team is taking time for family travel this holiday season, but we can't wait to hit the ground running in 2024! Here's a list of conferences we'll be attending in the coming months.

HCAA Executive Forum: February 19-21, Las Vegas, NV

SIIA Price Transparency Forum: February 26-27, Charlotte, NC

SIIA Spring Forum: March 25-27, San Antonio, TX


Legislative News

Senate Panel Passes PBM, Mental Health Reform Package

The Senate Finance Committee passed a draft healthcare package that includes mental health, pharmacy benefit manager (PBM) reform and drug pricing provisions.?The bipartisan package passed 26-0 on Wednesday. The move comes after lawmakers in Congress have deliberated for months over how to target PBMs — middlemen that manage prescription drug benefits for health insurers — over their role in high drug prices.

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CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”)?released the contract year 2025 proposed rule?for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”).?The Proposed Rule covers an array of regulatory topics including the Star Ratings program, marketing and communications, agent and broker compensation, health equity, dual eligible special needs plans (“D-SNPs”), utilization management, network adequacy, and access to biosimilars.

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