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A Guide to the RxDC Report: What Employers Need to Know The RxDC (Prescription Drug Data Collection) Report is a federal requirement under Section 204 of the Consolidated Appropriations Act. Each year, insurance providers and employer-sponsored health plans must submit detailed data on prescription drug benefits and healthcare spending to the Centers for Medicare & Medicaid Services […]

Bonus Updates Delta Dental 2025 Broker Rewards – Delta Dental’s Small Business Broker Rewards Program offers additional compensation for selling and retaining eligible groups (2-99 lives). Earn up to 5% for new sales and 3% for retention bonuses. Download the flyer Health Net 2025 Large Group Incentive – Brokers can earn 2% of paid premiums

As of January 1, 2025, AB-2556 Behavioral Health and Wellness Screenings requires healthcare service plans to notify their members each year about the benefits and wellness screenings for their children and teens ages 8 to 18. Details of the screening benefits can be found here! The member notice will be mailed to Health Net members for

Integrated Pharmacy With drug costs on the rise, Kaiser Permanente integrated pharmacy can help your clients support their employees and control costs. Since 2016, drug prices have increased around 5% each year. Their integrated pharmacy allows them to manage drug prices and pass on significant savings to employers – while providing a convenient, streamlined pharmacy

The Consolidated Appropriations Act (CAA) of 2021 introduced a complex set of transparency-related compliance requirements for health plans, insurance issuers, agents, and providers – all designed to improve clarity and accountability in health care. One of the CAA’s key transparency initiatives is the annual Rx Data Collection (RxDC) reporting requirement, which mandates that health plans and

According to a report by The Mercury News, a leading daily newspaper in California, nearly one-fourth of all health insurance claims in the state were denied last year. Some of these denials may have been influenced by Artificial Intelligence (AI). However, new legislation now prevents health insurers from relying solely on AI to determine whether

Senate Bill 729 requires Large Group healthcare service plans and insurance policies issued, amended, or renewed on or after July 1, 2025, to cover fertility treatments, including in vitro fertilization (IVF), while Small Group plans are only required to offer coverage of fertility treatments, included IVF. Key Implementation Details: Effective Date Coverage updates mandated by

Blue Shield of California is collecting D1 Premium Contribution data as part of the Consolidated Appropriations Act, Section 204 (2021)–Prescription Drug Cost Reporting regulation, on behalf of employer groups. Groups or their brokers with access to an Employer Connection account are encouraged to complete the survey by logging in to Employer Connection. Groups or their

The Prescription Drug Data Collection (RxDC) reporting provision of the Consolidated Appropriations Act (CAA) requires reports on drug utilization and spending trends be submitted to the U.S. Department of Health and Human Services each year.   The next RxDC report is due by June 1, 2025. Anthem will follow the same process as in prior years. FAQs