CAA

Broker Compensation Disclosure Update

Broker Compensation Disclosure Updated March 2024 Overview The Consolidated Appropriations Act of 2021 (CAA) included a requirement that brokers and consultants supplying services to ERISA-c...

Blue Shield of CA | Improved Process for D1 Premium Reporting - RxDC Mandate

Groups and/or their brokers without Employer Connection access, including active groups, termed groups, and Covered California Small Business groups, can submit required information via the Prescripti...

Covered California Small Business | Important Notice on CAA, Section 204 Pharmacy Reporting

“Under Section 204 (of Title II, Division BB) of the Consolidated Appropriations Act, 2021 (CAA), insurance companies and employer-based health plans must submit information about prescription drugs a...

Webinar Replay: RxDC Reporting Round 3

RxDC Reporting Round 3 January 31, 2024 Another round of Rx reporting is just around the corner. As we have started seeing communications from carriers and TPAs requesting data for the Rx report...

UPDATED DATES: 2024 UnitedHealthcare/Oxford Approach to CAA Prescription Drug (RxDC) Reporting

UnitedHealthcare and Oxford fully insured and self-funded/level funded groups must complete the online tool for CAA RxDC reporting between February 16, 2024, and April 10, 2024.

Aetna Gag Clause Prohibition Compliance Attestation Completed and Filed

They were submitted to CMS by the December 31, 2023, due date.

Blue Shield of CA | Rx Drug Cost Data Collection (RxDC) - Group Response Required

To ensure group data is included in Blue Shield’s aggregate filing, groups will need to fill out the Blue Shield D1 intake form.

A New California Bill Bans Surprise Ambulance Bills

A New California Law Bans Surprise Ambulance Bills for Out-of-Network Ground Ambulance Services A new California law, effective January 1, 2024, targets the kind of ‘surprise ambulance bills’ the c...

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...

Blue Shield of California CAA Gag Clause Compliance

Blue Shield will submit an annual compliance attestation on behalf of all of their fully-insured/flex-funded groups.

Aetna Shares CAA Gag Clause Compliance Approach

Aetna will submit the Gag Clause Prohibition Compliance Attestation on behalf of all fully-insured and small group AFA plan sponsors.

UnitedHealthcare CAA Gag Clause Confirmation of Compliance Now Available

UnitedHealthcare is providing the previously-announced Confirmation of Compliance to support customers who must complete the required attestation.