New Jersey S4779 requires health claims utilization data to be shared with public entity plan sponsors.
New Jersey S4779, 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 must 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 financial summaries.
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- Legal Framework
- Critical Issues
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