MA

February focus on all-payer claims databases

Published: February 06, 2013

Health CareHealth ITPolicy and Legislation

This month, Deltek analysts are focusing on all-payer claims databases (APCDs) – a driving force in improving health care delivery. APCD data collection programs consist of claims paid by all health care payers, including health insurance companies and third-party administrators. The data collected can be used for multiple purposes such as accountability of public dollars, payment reform development, resources for local communities, decision-making tools for consumers, provider performance comparisons, and targeting public health projects.
 
APCD development has not been immune to hurdles; as with any health care reform, information security and patient/consumer privacy are forefront concerns. APCDs need to pull information from several different sources, including those in the commercial sector. Unless the APCD is voluntary, legislation is required, which itself can be a long and arduous process. For a nation with rising health care costs, that process may be small compared to the savings that could be reaped.
 
Though the first APCDs were developed before the ACA, the increased push for meaningful reform to health care delivery is leaving major stakeholders hungry for the valuable information accessible through the APCD. Stay tuned this month for updates on APCD projects across the country.
 
Look in March for a new report from our analysts on the HIX market. Non-subscribers can gain access with a GovWin IQ free trial. As always, be sure to follow Deltek’s Health Care and Social Services Team on Twitter @GovWin_HHS, or connect with us through LinkedIN.