New Jersey A5557 requires health claims utilization data to be shared with public entity plan sponsors.
New Jersey A5557, known as the "Data Ownership Now Enforced Act" or "DONE Act," mandates that health insurance carriers, third-party administrators, health insurance fund and joint insurance fund administrators, stop-loss carriers, and the Division of Pensions and Benefits proactively transmit structured, HIPAA-compliant claims utilization data to every public entity plan sponsor within 30 days of enactment, without request and without charge. The data includes medical and pharmacy claims data, summary utilization statistics, and plan design and financial summary elements.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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