RxDC Reporting
The Requirement
The Requirement
The Requirement
Under the Consolidated Appropriations Act of 2021 (CAA 21), insurance companies and employer-based health plans must submit information about their prescription drugs and health care spending. This data submission is called the RxDC report.
Our Service
The Requirement
The Requirement
At Lucidus Compliance, we utilize a 4-phase approach that allows us to better understand your unique needs; coordinate directly with your PBMs; collect, convert, and file your data with CMS; and deliver to you a completed report and custom trend analysis.
The Benefit
The Requirement
The Benefit
With your custom trend analysis in hand, you will gain an in-depth understanding of your healthcare spend, rebate trends, utilization trends, and much more enabling you to better control spend and improve plan performance.
The Lucidus Way
Onboarding
Your business is unique. That's why Lucidus wants to better understand your compliance needs through a comprehensive onboarding process designed to help us get to know you better.
Engagement & Coordination
Once we've gotten to know your business better, we begin direct engagement with your PBMs to better understand their RxDC Approach and begin coordinating to obtain your data which is then used for filing and analysis.
Data Collection & Filing
After PBM coordination is complete, Lucidus will begin data collection, perform necessary conversions, complete required calculations, render and file your completed RxDC report to CMS.
Analysis & Delivery
Following file submission, Lucidus will prepare a custom Trend Analysis for delivery to you along with your completed RxDC filing and submission receipt for your records.
Service Comparison
Gag Clause Analysis & Attestation
Clear the path - Obtaining clear, actionable insights based on relevant data is near impossible when Gag Clauses are present.
We at Lucidus believe RxDC and Gag Clause compliance go hand-in-hand. That is why our RxDC service comes standard with Gag Clauses Analysis & Attestations, designed to expose problematic contract language and help you avoid future pitfalls, at no additional cost.
Full-File RxDC Reporting
See your data - A complete RxDC filing consists of a P File, D1-D8 files, and Narrative files.
Oftentimes, your PBM will file D3-D8 data on your behalf while you, your TPA, or third party vendor are left to handle your P file, D2-D3 files, and your narratives which opens the door to errors and incomplete filings, none of which are ideal for transparency.
That's why Lucidus handles your complete RxDC file from beginning to end - no more splintered filing, no unnecessary middlemen, and no non-sense because you deserve peace of mind. You deserve a partner like Lucidus.
Custom Trend Analysis
Optimize your plan - Come for the compliance, stay for the custom Trend Analysis.
We understand the importance of regulatory compliance and the challenges it presents which why we offer full-service compliance solutions to cover the needs you don't have time to handle. But what good is your transparency compliance if you don't use it for its intended purpose?
At Lucidus, in addition to taking the compliance burden off your shoulders, we want to provide you with a custom Trend Analysis designed to pull back the curtain concealing the truth about your plan's performance and enable you to affect real change for which you and your employees can be proud.