Question: Why are we one step forward toward greater transparency in the Massachusetts health care delivery system?
Answer: Today, the Division of Health Care Finance and Policy adopted regulations for the All-Payer Claims Database (APCD).
As I have mentioned in previous blog posts, the APCD will include virtually all health care claims data in Massachusetts. Not only will it support valuable analysis of the health care system, it will also offer consumers and employers a clearer picture and better understanding of the true cost of health care.
An added benefit of the APCD is that it will help to lower administrative costs for both government and health plans because it will serve as a central repository for health care claims. Today, multiple agencies make routine requests of such data and drive up unnecessary administrative costs.
Here's a quick overview of the two APCD-related regulations:
114.5 CMR 21.00 establishes data submission requirements for health care payers. Essentially, the APCD will serve as a clearinghouse for comprehensive quality and cost information that will help consumers, employers, insurers, and government have the necessary data to make prudent health care purchasing decisions.
114.5 CMR 22.00 governs the disclosure of all member eligibility and claims data. This will make health care claims data available for health care policy analysis that serves the public interest and safeguards the privacy rights of members.
Over the next several months, we will continue to update you on the progress of the APCD. Stay tuned to learn more.
Weekly Flu Report, May 22, 2015 posted on May 22
Rates of flu-like illness continued to decline during the last 7 days, as noted in the latest weekly flu report which can be viewed here.
Easy Summer Kebabs for the Whole Family! posted on May 22
By Lauren Miller, Dietetic Intern, Tufts University Summer is a chance to relax with family and friends, while having fun, sharing stories, listening to music, and enjoying food together. Warm weather and sunshine bring cookouts and mouth-watering food from the grill! Burgers, hot dogs, chicken, …Continue Reading Easy Summer Kebabs for the Whole Family!
Sharing the Massachusetts Approach to Fighting a National Epidemic posted on May 21
Today I had the distinct pleasure of appearing before the United States House of Representatives Committee on Energy and Commerce, Subcommittee on Oversight and Investigations at a hearing entitled “What are the State Governments Doing to Combat the Opioid Abuse Epidemic?”. It was an honor …Continue Reading Sharing the Massachusetts Approach to Fighting a National Epidemic