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04/04/2025
Transparency
03/14/2025
Compliance News Week Ending March 14, 2025
Compliance News Week Ending March 14, 2025 In this ArticleAll Payer Claims Databases - Can Self-Funded Plans Opt-Out?Supreme Court to Hear Case on ACA Preventive Coverage Requirements All Payer Claims...
03/07/2025
Compliance News Week Ending March 7, 2025
Compliance News Week Ending March 7, 2025 In this ArticleExecutive Order - Pricing Transparency Executive Order – Pricing Transparency At the end of February, President Trump issued an Executive Order...
01/30/2025
2025 Aetna Prescription Drug Data (RxDC) Collection Requirement
Aetna will reach out to groups via email, starting on Friday, January 31, 2025. Groups must respond with the requested information by March 31.
07/02/2024
Transparency in Coverage: Carrier Machine-Readable Files (MRF) Links
[updated] Quick access to each carriers dedicated website for Machine Readable Files (MRF).
03/18/2024
Sharp Health Plan Prescription Drug Data Collection Reporting (RxDC) Requirements
Employers should submit the requested information by April 19, 2024.
03/13/2024
Aetna Prescription Drug Data (RxDC) Collection Requirement
Aetna will reach out to groups via email, starting on Friday, March 15th. Groups must response with the requested information by April 12.
12/04/2023
Webinar Replay: CAA Transparency Requirements Trivia
CAA Transparency Requirements Trivia Nov 29, 2023 So you think you understand the various CAA Transparency Requirements? Come find out. This week this webinar will take you through a series of q...
05/10/2023
Kaiser Permanente®: Releases Update on COVID-19 Coverage and CAA RxDC Reporting
In March, Kaiser contacted their current customers and brokers to request group specific information required for them to complete aggregated reports for pharmacy reporting under the Consolidated Appr...
04/12/2023
Covered California Small Business: Consolidated Appropriations Act, Section 204 Pharmacy Reporting
Covered California for Small Business (CCSB) serves as an administrator of their participating Health Plan Issuers and is not an insurance company nor an employer-based health plan. Therefore, CCSB is...
03/28/2023
Sharp Health Plan Prescription Drug Data (RxDC) Survey Requirement
Employers should submit their information by May 1, 2023. Understanding the RxDC Report Under Section 204 of the Consolidated Appropriations Act, insurance companies and employer-based health pl...
03/20/2023
