The Consolidated Appropriations Act (CAA) Rx Data Collection (RxDC) component requires health plans/issuers to produce and file reports on prescription drug and health care spending for the 2022 calendar year by 6/1/2023. These reports are due annually and will be due by June 1st each year thereafter. The Centers for Medicare & Medicaid Services (CMS) has released a RxDC Reporting Instructions Guide to help facilitate reporting.

Few things about the American health care system infuriate patients and doctors more than prior authorization, a common tool whose use by insurers has exploded in recent years.

The Word & Brown Companies today announced that key operating systems in use by Word & Brown® General Agency and CHOICE Administrators® have earned Certified status for information security by HITRUST.

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist in Los Angeles recommended the 67-year-old undergo an MRI, a high-resolution image that could help spot the disease. But her MRI appointment ...

Two top senators are urging the Biden administration to address “loopholes” that they said allow insurers to skirt price transparency requirements. Sens. Maggie Hassan, D-New Hampshire, and Mike Braun, R-Indiana, wrote in a letter (PDF) to Centers for Medicare & Medicaid Services Administrator Chiquita Brooks-LaSure that the agency should update its regulations to “ensure that there is ...

Not all employee benefits managers and business owners understand the real advantages of using a health insurance broker. You can help them by explaining the value they gain by working with you when shopping for employee benefits for their businesses and employees.