Post Content

Division of Health Care Finance and Policy Acting Commissioner Seena Perumal Carrington

 

Last week, DHCFP began collection of total medical expenses data.  This week, we prepare for our second major data collection effort under Chapter 288: relative prices.    

Relative price can be a deceptively complex measure.  Relative prices compare how much a carrier would pay each provider for a standard mix of services across a standard mix of insurance products relative to other, similar providers in a carrier’s network.  However, because these are relative prices, they are expressed as ratios within each carrier’s network.  DHCFP finalized its relative price regulation this past Friday, after months of collaboration and discussion with carriers and other stakeholders.  In June, DHCFP will be collecting relative price data for nine distinct provider groups, including hospitals, physician groups, community health centers, and skilled nursing facilities, among others.

In order to ensure the smooth processing of relative price data, DHCFP will be hosting a technical workshop at 1 p.m. on Thursday, April 7.  During the workshop, DHCFP will review the data specifications for the relative price submission and address any outstanding carrier questions and concerns.  Input from this session will allow us to better refine our data specifications and ensure that the highest quality data is received in June.

We would like to thank carriers for their continued assistance and partnership with respect to total medical expenses and relative prices.  Both of these measures will provide valuable information regarding health care costs and variation in provider payment levels in the Commonwealth and are important tools for transparency.

 

 

Written By:

Recent Posts

Providing Support for Health Care Workers Impacted by COVID-19 posted on Oct 6

Providing Support for Health Care Workers Impacted by COVID-19

Throughout the pandemic, health care providers have faced levels of stress beyond worrying about their health and the health of family and friends. They also have had to cope with providing care to severely ill and dying patients – many of whom they may have been   …Continue Reading Providing Support for Health Care Workers Impacted by COVID-19

What is a Vaccine Ambassador? posted on Sep 29

What is a Vaccine Ambassador?

The Department of Public Health (DPH) aims to provide clear and consistent information about the COVID-19 vaccine, build trust and confidence, dispel misinformation, and encourage vaccine uptake. Our efforts, and those of countless others across the Commonwealth are working, with more than 4.6 million residents   …Continue Reading What is a Vaccine Ambassador?

Pappas Rehabilitation Hospital Staff Go the Extra Mile for Patients posted on Jun 23

Pappas Rehabilitation Hospital Staff Go the Extra Mile for Patients

Nick Grigoriou is a 25-year-old man with Duchenne muscular dystrophy, a genetic disorder that causes progressive muscular degeneration and weakness.  A patient at DPH’s Pappas Rehabilitation Hospital for Children in Canton since 2012, Nick is preparing to be discharged home later this month.  Due to   …Continue Reading Pappas Rehabilitation Hospital Staff Go the Extra Mile for Patients