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

EMS Strong: Always in Service posted on May 22

EMS Strong: Always in Service

National Emergency Medical Services Week (EMS Week) recognizes the dedication of EMS professionals across the United States who provide the day-to-day lifesaving services of medicine’s “front line” to keep their communities safe and healthy. This year, we honor these brave men and women from May   …Continue Reading EMS Strong: Always in Service

Weekly Flu Report, May 19, 2017 posted on May 19

Rates of flu-like illness ticked slightly upwards in the past seven days, as compared to the previous week, according to the latest weekly flu report. You can view the report here.

Young Workers: Know Your Rights in the Workplace posted on May 17

Young Workers: Know Your Rights in the Workplace

Memorial Day is right around the corner — the unofficial start to summer and for many teens and young adults the start of a summer job. All across the state, young workers will be seen scooping ice cream, serving food, working as camp counselors, bagging   …Continue Reading Young Workers: Know Your Rights in the Workplace