This past Monday, the Division’s all-payer claims database (APCD) began collecting health care claims data from all registered payers in the Commonwealth.
I am pleased to report that – to date – the APCD has registered almost 90 health care payers and third party administrators and has received approximately 2,260 files. This represents a tremendous success for several reasons.
First, these files represent the vast majority of carriers offering health insurance in Massachusetts (including the major carriers), as well as pharmacy and third party administrators.
Second, the Massachusetts APCD collects more information and claims files than similar data collection efforts in other states. In fact, other states are actively consulting with the Division for assistance on their APCD processes, as well as in developing national standards for all APCDs.
Third, the Division has successfully worked with the health payer community routinely (and on a real-time basis) to address virtually all of their technical issues associated with submissions and data specifications. Our collaboration with carriers has helped us to ensure successful data testing submissions, as well as improved data completeness and quality.
Fourth, while much more work remains, working closely with carriers has helped us to enhance our data specifications and files to better meet the needs of sister agencies in the future. The progress to date has gone far better than expected, and we believe our efforts in the next phase will be just as successful as we move toward administrative simplification.
We are very proud of this milestone and look forward to taking transparency of health care cost and quality to a whole new level in Massachusetts.
As a part of our commitment to transparency, the Massachusetts Division of Health Care Finance and Policy uses several social media tools including Twitter, blogs, and RSS feeds. We use these tools to keep you informed about the work we are doing and as a way to get feedback.You can follow us on Twitter, and you can learn more by visiting the Commonwealth Conversations: Mass Health Care blog.
Slow and Steady Wins the Race! posted on Mar 20
How to achieve your healthy lifestyle goals this National Nutrition Month! By Campbell Reiff It’s March, and you know what that means – spring is here! March is not only the month for the change in seasons, but is also National Nutrition Month! This month, the …Continue Reading Slow and Steady Wins the Race!
Weekly Flu Report, March 17, 2017 posted on Mar 17
Rates of flu-like illness rebounded slightly over the past seven days, according to the latest weekly flu report. Regardless of the swings from week to week, it’s important to note that we can expect to see flu continuing to circulate in our communities well into springtime. …Continue Reading Weekly Flu Report, March 17, 2017
Making Strides to Better Understanding Environmental Exposure posted on Mar 16
In partnership with the CDC, DPH is looking at the impact of certain environmental chemicals – such as lead and mercury – on Massachusetts residents. This technique, known as biomonitoring, measures environmental chemicals in the human body. Through a state-wide study, DPH is trying …Continue Reading Making Strides to Better Understanding Environmental Exposure