Transparency

New Guidance and Delayed Enforcement for Prescription Drug Data Collection (RxDC)

On the eve of the requirement for employer-sponsored health plans and health insurance carriers to submit prescription drug cost reporting data (RxDC), the Departments of Labor, Health and Human Servi...

Sutter Health Plus and Prescription Drug Data Collection Reporting (RxDC) Requirements

The Consolidated Appropriations Act of 2021 (Section 204) requires insurance companies and employer-based health plans to submit information to the federal government about: Spending on prescrip...

Blue Shield of California and Prescription Drug Data Collection Reporting (RxDC) Requirements

Blue Shield of California is preparing to submit data files as required by the Consolidated Appropriations Act, Section 204 – Pharmacy Drug Cost Reporting for reports due December 27, 2022. This feder...

UnitedHealthcare Consumer Price Transparency Tool Available on January 1, 2023

UnitedHealthcare will provide members with a new tool to estimate and compare select health service costs based on CAA requirements. Beginning Jan. 1, 2023, price comparison information for a speci...

Transparency in Coverage: Prescription Drug Data Collection Reporting (RxDC) Requirements, December 2022

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 begin...

Aetna Webinar: Supporting Your Clients Through The Transparency In Coverage (TiC) And No Surprises Act (NSA) Requirements

Join to hear Aetna’s TiC and NSA experts guide you through the upcoming compliance requirements. Learn about Aetna’s Cost Estimator Tool and RxDC reporting and participate in an interactive Q&A...

MediExcel Health Plan and Prescription Drug Data Collection Reporting (RxDC) Requirements

The following information is provided regarding the compliance of prescription drug data collection (RxDC) reporting by MediExcel Health Plan. Prescription drug data collection (RxDC) reporting sta...

Kaiser Permanente and Prescription Drug Data Collection Reporting (RxDC) Requirements

As part of the Consolidated Appropriations Act, Kaiser Permanente is required to submit information about prescription drug and health care spending on behalf of all fully insured and self-funded grou...

Aetna and Prescription Drug Data Collection Reporting (RxDC) Requirements

As part of the Consolidated Appropriations Act, 2021 (CAA), which was signed into law on December 27, 2020, health insurance issuers and group health plans are required to submit information about pre...

Sharp Health Plan and Prescription Drug Data Collection Reporting (RxDC) Requirements

The Transparency in Coverage rule requires health plans to share health care costs for members to make informed decisions on how they receive care. There are two main phases of the rule. The first ...

UnitedHealthcare and Prescription Drug Data Collection Reporting (RxDC) Requirements

Under the Consolidated Appropriations Act (CAA), health insurers offering group or individual health coverage and self-funded (ASO) group health plans are required to report data annually regarding pr...

Anthem and Prescription Drug Data Collection Reporting (RxDC) Requirements

Anthem sent an email to employers in September outlining Prescription Drug Data Collection (RxDC) reporting requirements that begin December 27, 2022. The RxDC reporting provision of the Consolidat...