Oct 9, 2026 | Compliance, Consolidated Appropriations Act of 2021 (CAA), Gag Clause, Legislative, Regulatory, Third party administration
An important reminder that group health plans must attest compliance with the gag clause prohibitions mandated by the Consolidated Appropriations Act of 2021. Attestation is required online by December 31, 2026. The law requires plan sponsors to file an...
Jun 5, 2026 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), Pharmacy, Regulatory
As you may recall, the Consolidated Appropriations Act of 2021 (CAA) requires all health plans to file a pharmacy data report annually with the Centers for Medicare & Medicaid Services (CMS). For the 2025 reporting cycle, the Prescription Drug Data Collection...
Mar 9, 2026 | Compliance, Consolidated Appropriations Act of 2021 (CAA), Pharmacy Benefits Manager (PBM), Prescription, Primary Care, RxDC report, Specialty Care, Third party administration
As you may recall, the Consolidated Appropriations Act of 2021 (CAA) requires group health plans to submit to the Centers for Medicare & Medicaid Services information about prescription drugs and health care spending. This data submission is called RxDC (for...
Jun 2, 2025 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), PCORI, Regulatory
As in years past, no later than July 31, 2025, all self-funded employer health plan sponsors are required to file and pay their PCORI fees. You may remember that as part of the Further Consolidated Appropriations Act of 2020, Congress extended the requirement that...
May 30, 2025 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), Pharmacy, Regulatory
As you’ll recall, 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)...
Mar 10, 2025 | Compliance, Consolidated Appropriations Act of 2021 (CAA), Regulatory, RxDC report
As you may recall, the Consolidated Appropriations Act of 2021 (CAA) requires group health plans to submit to the Centers for Medicare & Medicaid Services information about prescription drugs and health care spending. This data submission is called RxDC (for...
