Pharmacy Benefits and Drug Costs Reporting [CAA, Transparency Provision]

Pharmacy Benefits and Drug Costs Reporting [CAA, Transparency Provision]

Pharmacy Benefits and Drug Costs Reporting [CAA, Transparency Provision]

Section 204 (division BB) requires health plans to report information on premiums, medical costs, and prescription drug spending for the previous plan year to the Department of Health and Human Services (HHS), the Department of Labor, and the Department of Treasury.

Market impact of this provision effects Individual Family Plan (IFP), Small Business Markets (SBM), Core, Premier, Administrative Services Only (ASO) and Shared Advantage (SA) lines of business.

 

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