Erica Stocker

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Erica Stocker is a skilled policy and advocacy professional who has more than 20 years of experience in Washington, DC — including nearly 10 years working on Capitol Hill in health policy and office leadership roles, and more than a decade as a government relations professional and registered lobbyist. Read Erica Stocker's full bio.

Pharmacy Benefit Manager Reform: What’s on the Horizon? (December 2023 Update)


By , , , and on Dec 27, 2023
Posted In Employee Benefits, Health and Welfare Plans

The price of prescription drugs has brought scrutiny to the entire drug supply chain. Congress and other policymakers continue to seek opportunities to lower costs for patients and the federal government. Pharmacy benefit managers (PBMs) are a key stakeholder in the drug supply chain, functioning as intermediaries between insurance providers and pharmaceutical manufacturers. Congress and...

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Pharmacy Benefit Manager Reform: What’s on the Horizon?


By , , , and on Oct 17, 2023
Posted In Employee Benefits, Health and Welfare Plans

The price of prescription drugs has brought scrutiny to the entire drug supply chain. Congress and other policymakers continue to seek opportunities to lower costs for patients and the federal government. Pharmacy benefit managers (PBMs) are a key stakeholder in the drug supply chain, functioning as intermediaries between insurance providers and pharmaceutical manufacturers. PBMs administer...

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Texas District Court Overturns Portions of the IDR Process


By , , and on Sep 14, 2023
Posted In Employee Benefits, Health and Welfare Plans

On August 3, 2023, the US District Court for the Eastern District of Texas ruled on the implementation of the No Surprises Act in Texas Medical Association, et al. v. US Department of Health and Human Services, et al. (TMA IV). In TMA IV, the plaintiffs challenged two things: The increased administrative fee to participate...

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Congress Advances Four Bipartisan Healthcare Bills


By , , and on Jul 24, 2023
Posted In Employee Benefits, Health and Welfare Plans

The US House and Senate returned from recess, beginning a three-week sprint toward the August break. The bipartisan healthcare legislation on pharmacy benefit managers (PBMs) and healthcare transparency is moving through both the House and Senate. The House Education and the Workforce Committee held a markup of a bipartisan healthcare package of four bills. The...

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District Court Vacates Provisions of No Surprises Act Final Rule


By , and on Mar 10, 2023
Posted In Employee Benefits, Health and Welfare Plans

On February 6, a US district court in Texas vacated provisions of the No Surprises Act final rule related to the independent dispute resolution (IDR) process for determining payment for out-of-network services. The district court granted summary judgment to the Texas Medical Association, which had brought suit against the US Departments of Health and Human...

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HHS Announces Record Number of ACA Marketplace Enrollments


By , and on Feb 23, 2023
Posted In Employee Benefits, Health and Welfare Plans

On January 25, 2023, the US Department of Health and Human Services (HHS) announced that more than 16.3 million people nationwide selected an ACA Marketplace health plan during the 2023 open enrollment period that ran from November 1, 2022, until January 15, 2023, for most marketplaces. According to HHS, total plan selections include 3.6 million people...

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