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, December 2, 2016 posted on Dec 2

The latest weekly flu report shows that rates of flu-like illness rose slightly in the past seven days in Massachusetts. Still, it’s safe to say that flu season has yet to really kick in – which means there is still time to protect yourself and your family   …Continue Reading Weekly Flu Report, December 2, 2016

Keeping the Balance During the Holiday Season! posted on Nov 29

Keeping the Balance During the Holiday Season!

By Tracey Munson and Meaghan Sutherland The holiday season is on our doorstep, accompanied by an endless supply of gravy, fudge, gingerbread, and figgy pudding (okay, maybe not that last one).  While enjoying some of these foods is something we look forward to every year,   …Continue Reading Keeping the Balance During the Holiday Season!

Protecting the Health of Home Care Aides posted on Nov 28

Protecting the Health of Home Care Aides

Do you or someone you love use the services of a home care aide?  Nearly 50,000 people—mostly women—work in this growing occupation in Massachusetts.  You may be surprised to learn that recent data show that home care aides are twice as likely to have asthma   …Continue Reading Protecting the Health of Home Care Aides