Post Content

David Morales, DHCFP Logo

 

 

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.

 

 

 

Written By:

Recent Posts

Highlights of the February 12th Public Health Council Meeting posted on Feb 12

The February monthly meeting of the Public Health Council included an informational update from Public Health Commissioner Monica Bharel, the consideration of a single Determination of Need (DoN) request, a vote on final regulations, and an informational presentation by staff in the DPH Communications Office.   …Continue Reading Highlights of the February 12th Public Health Council Meeting

Learn More About the 2019 Novel Coronavirus posted on Feb 11

Learn More About the 2019 Novel Coronavirus

The new virus known as 2019 Novel Coronavirus (2019-nCoV) is a respiratory virus first detected in December of 2019 in Wuhan, China. As of today there has been one confirmed case in Massachusetts, and the risk to residents here remains low. The Massachusetts Department of   …Continue Reading Learn More About the 2019 Novel Coronavirus

Highlights of the January 15th Public Health Council Meeting posted on Jan 15

This month’s Public Health Council meeting featured a pair of informational updates from the Department on the status of proposed amendments to regulations, followed by a programmatic update from DPH program staff. First, the Council received an informational overview from the Bureau of Substance Addiction Services   …Continue Reading Highlights of the January 15th Public Health Council Meeting