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.
Making Your Summer POP! posted on Jul 19
Few things are better than an ice-cold popsicle on a hot summer day! I have vivid memories from my childhood running around through the sprinkler and various neighbors’ yards enjoying the summer sun. At that age, having a messy red ring around your mouth from …Continue Reading Making Your Summer POP!
Massachusetts is Rewarding Small Businesses for Healthy Workplaces posted on Jul 18
Wellness programs are good for business. They can lead to better performing workers, lower absenteeism and decreased healthcare and insurance costs. Now, small businesses can be rewarded for these efforts! The Massachusetts Wellness Tax Credit Incentive gives small businesses in Massachusetts a state tax credit …Continue Reading Massachusetts is Rewarding Small Businesses for Healthy Workplaces
Climate and Health: We Track That! posted on Jul 15
Extreme heat events are one of the most common causes of weather-related deaths in the United States – and the number of heat-related deaths is rising. More frequent and severe heat waves are likely to occur as climate change continues to change weather patterns. These …Continue Reading Climate and Health: We Track That!