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The RxDC reporting provision of the Consolidated Appropriations Act (CAA) requires reports on drug utilization and spending trends to be submitted to U.S. Department of Health and Human Services. Reports are due annually by June 1.
View the Amwins Connect Health Cost Transparency Guide for Employers.
CMS Resources:
CARRIER | REPORTING Fully Insured |
REPORTING Self/Level Funded |
EMPLOYER SURVEYS | RESOURCES |
---|---|---|---|---|
Aetna, Banner|Aetna |
Carrier will report. | Carrier will report. | Survey Required: Due April 12, 2024 Aetna will email a form directly to employers starting Friday, March 15. Employer will be asked to provide:
|
|
Allstate Benefits | n/a | Details pending for 2024 | Details pending for 2024 | - |
Anthem | Carrier will report. | Employer must report:
|
Survey Required: Due March 15, 2024 Anthem will email a survey directly to employers starting the week of Feb 12. ASO LG and National Accounts can opt-in to have Anthem file D1 Premium and Life Years report on their behalf. |
|
Blue Cross Blue Shield of Arizona | Carrier will report. | Carrier will report. | No survey has been announced | - |
Blue Shield of California | Carrier will report. | Varies; refer to the Reporting Grid. | Survey Required: Due April 5, 2024 Employers must report premium paid for healthcare coverage. Survey available in Employer Connection, but if no account then use the Prescription Drug & Healthcare Spending Survey (use group ID and web key #24yr23) . Late responses accepted until April 19. |
|
CareFirst BCBS | Carrier will report. | Carrier will report. | Survey Required: Due May 10, 2024 Survey sent directly to employers on April 12. |
|
Cigna | Carrier will report. | Carrier will report. | No survey has been announced | - |
Cigna + Oscar | Carrier will report. | n/a | No survey has been announced | - |
Cigna Administered by Oscar | Carrier will report. | n/a | No survey has been announced | - |
ConnectiCare | Carrier will report. | n/a | Survey Required: Due May 3, 2024 Employers must report average monthly premium paid by employer vs employee. |
|
EmblemHealth | Carrier will report. | Carrier will report. | Survey Required: Due May 3, 2024 Employers must report average monthly premium paid by employer vs employee. |
|
Florida Blue | Carrier will report. | Carrier will report. | Survey Required: Due March 31, 2024 | |
FHCP | Carrier will report. | n/a | Survey Required: Due March 31, 2024 | |
Health Net | Carrier will report. | n/a | No survey required. | |
Healthfirst | Carrier will report. | Carrier will report. | No survey has been announced | - |
Humana | Carrier will report. | Carrier will report. | Survey Required: Due April 19, 2024 Fully Insured Survey Self-Funded Survey See the FAQ for what is needed to report based on funding type. |
|
Kaiser Permanente | Carrier will report. | Carrier will report. | Survey Required: Due March 29, 2024 Kaiser will send the survey directly to employers, must provide:
Small groups associated with CCSB or CalChoice do not need to complete the form. These exchanges will provide the data to Kaiser who will report on their behalf. |
|
Oscar | Carrier will report. | n/a | No survey has been announced | - |
Sharp Health Plan | Carrier will report. | n/a | Survey Required: Due April 19, 2024 Employers must report:
|
|
Sutter Health Plus | Carrier will report. | n/a | Survey Required: Due March 1, 2024 | |
UnitedHealthcare, Oxford |
Carrier will report for groups using OptumRx as PBM. Groups with other PBMs (including OptumRx Direct) should refer to the CAA UHC Approach to Pharmacy Benefits and Costs Reporting Guide |
Carrier will report for groups using OptumRx as PBM. ASO groups and groups with other PBMs (including OptumRx Direct) should refer to the CAA UHC Approach to Pharmacy Benefits and Costs Reporting Guide |
Survey Required: Due April 10, 2024 Employers should use the Request for Information (RFI) worksheet to prepare responses prior to completing the RFI in the employer portal. |
|
Western Health Advantage | Carrier will report. Small employers should review their Group Service Agreement Cover Sheet (renewal doc) to ensure contribution values are correct. This will be used for WHA reporting. Large employers will be contacted by WHA to confirm contribution values. |
n/a | No survey has been announced | - |
Other Carriers:
Customer Care
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