All-Payer Claims Database (APCD)
Case Study in State Price Transparency Bills: Oregon
Elizabeth Nicholson, Research Fellow September 28, 2015
Oregon was one of 44 states to receive a failing grade on the Catalyst for Payment Reform and HCI3’s Report Card on State Price Transparency Laws, in March 2014. This session, state senators proposed two bills aimed at price transparency: SB900, which passed and SB891, which died upon committee adjournment. A few states have mounted similar efforts to either SB900 or SB891. Oregon provides us with a unique case study since it is the only state legislature to set forth both types of initiatives in the same legislative term. While SB900 is a …
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Price Transparency in Minnesota: Why Not?
Jaime S. King, Executive Editor and Anne Marie Helm July 17, 2015
On June 29, the FTC responded by comment letter to a request from two Minnesota state legislators to analyze the competitive impact of recent amendments to the Minnesota Government Data Practices Act (MGDPA). The MGDPA is an “open records” law that aims to provide greater accountability for government by granting public access to government data through Freedom of Information Act requests. The amendments at issue would expand the MGDPA to cover all data collected by health maintenance organizations, health plans, and other health services vendors contracting with the state to …
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Issue Brief: All Payer Claims Databases
Source Fellow June 19, 2015
By: Evan Sznol, Source Fellow Introduction: What is an All-Payer Claims Database? An All-Payer Claims Database (“APCD”) is an electronic system that aggregates claims and administrative data from public and private payers. APCDs allow states to monitor utilization and healthcare charges across all payers, and, as such, are key tools for policymakers to identify and respond to systematic trends among (nearly) all delivery settings. According to the APCD Council (a collaboration between the University of New Hampshire and the National Association of Health Data Organizations), there are 12 operational state …
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Academic Articles and Reports Roundup: June 2014
Jaime S. King, Executive Editor June 30, 2014
Articles and Reports Round Up: June 2014 Greetings! In this installment of the Articles and Reports Round Up are the Source’s pick reads from the academic literature and policy reports from June 2014. Academic Articles Health Affairs’ June issue, titled The Economics of Health Care: Costs, Savings, and Value (be still our hearts), had two lead articles on healthcare consolidation and costs (Ginsburg and Pawlson, and Sage) followed by two commentaries. All four are well worth reading. Paul Ginsburg and Gregory Pawlson’s article, Seeking Lower Prices Where Providers Are Consolidated: An …
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Recent Trends in Legislation and Regulation
Anne Marie Helm, Managing Editor June 6, 2014
As the “laboratories of democracy,” the states play a major role in creating new laws and shaping public policy on important issues, including those related to healthcare costs and competition. Our Legislation/Regulation page provides various ways to research and track recent happenings in the legislative and regulatory arena. Our state-by-state map displays new regulatory and legislative developments, and these developments can be further explored by viewing the documents below the map, which are organized by topic, including by specific type of statute. Also, The Source Blog will take you through …
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