May 24, 2024 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), Regulatory
You might remember that the Consolidated Appropriations Act of 2021 (CAA) requires all health plans to file a pharmacy data report annually to the Centers for Medicare & Medicaid Services (CMS). Each year, the Prescription Drug Data Collection reporting (RxDC)...
Dec 12, 2023 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), Gag Clause, Regulatory
An important reminder: Group health plans are required to attest that they are in compliance with the Consolidated Appropriations Act’s gag clause prohibition no later than December 31, 2023. The 2021 federal law requires that all group health plan sponsors file an...
Jul 25, 2023 | Caroline Fraker, Claims data, Compliance, Consolidated Appropriations Act of 2021 (CAA), No Surprises Act (NSA), Regulatory
MedCity News reports on the latest in a series of lawsuits by large self-funded employers against national carrier administrators. These cases place a spotlight on health plan administrators that do not provide employers access to their medical claims data, in...
May 11, 2023 | Centers for Medicare & Medicaid Services (CMS), Compliance, Consolidated Appropriations Act of 2021 (CAA), Pharmacy, Prescription, Regulatory
You might remember that the Consolidated Appropriations Act of 2021 (CAA) requires all health plans to file a pharmacy data report annually to the Centers for Medicare & Medicaid Services (CMS). Beginning this year, and each year thereafter, that reporting must be...
