Prescription Drug Data Collection (RxDC) Reporting Information By Carrier
Posted on February 23, 2023
As previously communicated under the Consolidated Appropriations Act (CAA), health insurers offering group or individual health coverage and self-funded (ASO) group health plans are required to report data annually regarding prescription drugs and health care spending to the Departments of Health and Human Services, Labor, and Treasury (Tri-Agencies). This information must be submitted to CMS by June 1, 2023, for 2022 data, through a web portal set up by the Centers for Medicare & Medicaid Services (CMS).
The easiest way for groups to be compliant with this new legislation is if they submit certain premium data to their carrier by a specific deadline prior to the CMS deadline. The carrier will then submit the data to CMS on their behalf.
|Data Collection Summary||
|Aetna||Group or Broker must complete an online data collection form by 4/1/23 including total premium paid by employees and total premium paid by employer for 2022. See instructions for all required group information.|
|Cigna||Group or Broker must send an email to CAA204@Cigna.com by 2/24/23 with the following information: Client Name, Client Account Number, Client ID (if known/ typically 4-6 digits), Average employee % of premium and Average employer % of premium for 2022.||
|Empire||Group or Broker must complete online form by 3/1/23 including average employee % of premium and average employer % of premium for 2022. See instructions for all required group information.|
|Horizon||Horizon will be completing the process for all fully insured groups without any data needed from the group or broker.||
No action required from the group or broker.
|UHC/Oxford||Group or Broker must complete online form by 3/1/23 (by funding arrangement) including average employee % of premium and average employer % of premium for 2022. See instructions for all required group information.||
Below is a summary by carrier (that we have received to date) with deadlines, premium data format, instructions, survey links and links to supporting documentation.