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 27, 2016 posted on May 27
Flu rates in Massachusetts continued to decline over the past seven days, according to the latest weekly flu report. This week’s report is the last to be published for the 2015-2016 flu season. Weekly Flu Reports will resume at the outset of the 2016-2017 flu season. …Continue Reading Weekly Flu Report, May 27, 2016
Preparing and Packing for Your Next Picnic! posted on May 26
It’s finally that time of year where you can bring your family outdoors to enjoy the warm and sunny weather! Having a picnic with your family and friends is a great way to enjoy a meal, try new foods, and be outdoors. Plus, packing …Continue Reading Preparing and Packing for Your Next Picnic!
Weekly Flu Report, May 20, 2016 posted on May 20
Rates of flu-like illness continued to decline over the past seven days, according the latest weekly flu report. The report can be viewed here.