Post Content

David_morales Posted by: David Morales, Commissioner, Division of Health Care Finance and Policy

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. 


Written By:

Recent Posts

Weekly Flu Report, November 24, 2017 posted on Nov 24

Rates of flu-like illness continue to rise, according to the latest weekly flu report. There is still plenty of flu vaccine available if you haven’t gotten your flu shot yet – call your health care provider or local board of health, or visit a local   …Continue Reading Weekly Flu Report, November 24, 2017

Weekly Flu Report, November 17, 2017 posted on Nov 21

The latest weekly flu report indicates an increase in rates of flu-like illness over the past seven days. There is still plenty of flu vaccine available if you haven’t gotten your flu shot yet – call your health care provider or local board of health, or   …Continue Reading Weekly Flu Report, November 17, 2017

Celebrating Our Rural Communities posted on Nov 16

Celebrating Our Rural Communities

Nearly 60 million people live and work in rural America. In Massachusetts, about 650,000 people call one of our 160 rural towns home. Rural communities are great places to live, work, and play, but they also face unique healthcare challenges. That’s why each year the   …Continue Reading Celebrating Our Rural Communities