Health Net Completed RxDC Reporting in May, 2024

Health Net successfully filed the RxDC report for Oregon and California Small and Large groups on May 30, 2024.

Why It Matters

As explained in the February 15, 2024 Broker Blast Communication, the No Surprises Act (NSA), enacted as part of the Consolidated Appropriations Act, 2021 (CAA), includes transparency provisions required to both grandfathered and non-grandfathered group health plans and health insurance issuers in the individual and group markets, to submit information on prescription drugs and health care spending. The information is submitted to the Departments of Labor Health and Human Services and the Department of Treasury and the Office of Personnel Management (The Departments).

This prescription drug data submission is called the RxDC report and is collected by the Centers for Medicare and Medicaid Services (CMS).

The RxDC report is due each year, beginning December 27, 2022 (for reference years 2020 and 2021), and then by June 1 of each subsequent year.

No further action is required from the employer groups.

More Information

What was submitted?

D1, D2, D3, D4, D5, D6, D7 and D8.

At the time of submitting D2, was the aggregate total submitted under Health Net's EIN? 

Yes, the aggregate total was submitted under Health Net’s EIN.

If the D2 was submitted as an aggregate, are the rest of the submissions on an aggregate?

Yes.

Did Health Net submit a Narrative Response?

Yes.

Questions

For more information about this communication, contact your Health Net Sales Representative.