Feb 21, 2024
The Prescription Drug Data Collection (RxDC) reporting provision of the Consolidated Appropriations Act (CAA) requires reports on drug utilization and spending trends be submitted to the U.S. Department of Health and Human Services each year. Starting last year, Anthem was required to include the average monthly premiums paid by members and by employers in the Premium and Life Years (D1) reporting.
The next RxDC report is due by June 1, 2024. To meet the requirement, Anthem will follow the same process as last year and file on behalf of their fully insured and ASO clients for the benefits they administer and maintain. This includes ASO groups who opt-in to the D1 reporting. In order to submit all required information and ensure reporting accuracy, Anthem will request some information from clients.
Here is a summary of the communications Anthem will send to Large Group, Small Group, and National Account clients and the actions they will need to take for Anthem to complete their required RxDC filing.
The week of February 12 – Fully Insured clients
- Anthem will email Fully Insured National Account, Large Group, and Small Group commercial clients, as well as clients with Minimum Premium, MEWA, and Anthem Balanced Funding plans. The email will include a link to an online form for these clients to provide the information needed to complete the filings on their behalf.
Also the week of February 12 – ASO client D1 opt-in
- Anthem will email ASO Large Group and National Account clients and provide a link for them to request that Anthem file their 2023 D1 Premium and Life Years report. For those who opt-in, Anthem will submit the aggregated data by market segment on their behalf for the benefits they administer and maintain.
The week of June 3, 2024 - Confirmation of RxDC filing
- Anthem will email all Fully Insured and ASO commercial groups, including National Accounts, Large Group, and Small Group clients, to notify them that Anthem has completed the required 2023 filing of prescription drug data on their behalf in compliance with the federal regulations. This information will also be published to EmployerAccess Latest News.
Anthem asks for your help collecting monthly average premium information required for Prescription Drug Data (RxDC) reporting by March 15, 2024. Please ask your clients to fill out this form to make sure Anthem has the needed information.
For more information about the Consolidated Appropriations Act RxDC reporting requirements, please visit our CAA/Transparency Resource Center, CMS’ RxDC information page, or contact your Amwins team. We are here to help.
