Meetings & Presentations | Jan 29, 2014

All-Payer Claims Database Small Group Convening

The State Network hosted a APCD Small Group Convening on January 23-24, 2014 in New Orleans, LA.

The State Network hosted a Small Group Convening in New Orleans, LA on January 23-24, 2014, bringing together state officials and technical experts to discuss All-Payer Claims Databases and rate review.   The agenda can be found here and selected presentations and resources from the meeting are compiled and listed by session below.

 

Presentations

APCDs: A Foundation for Data-Driven Decisions

Rate Review Process Overview

Leveraging APCDs for Rate Review and Related Regulatory Activities

Developing Measures and Analytic Tools

 

State Resources

Colorado – Colorado APCD

Maine –  Health Cost

Maryland – Privately Insured Health Care Spending in Maryland in 2012

Massachusetts – My Health Options

Massachusetts – Notice of Benefit and Payment Parameters 2014: Risk Adjustment Methodology and Operation

Massachusetts – Description of Massachusetts APCD data elements for risk adjustment in the HHS Notice of Benefit and Payment Parameters for 2014

North Carolina – Rate Filing Template

New Jersey – APCDs: Issues and Opportunities for Health Care Cost Transparency in New Jersey

New York –  All Patient Refined Diagnosis Related Groups Weights 

Oregon – Health Insurance Rate Review Oregon Insurance Division

Oregon – Recommendations for Aligning ACA Implementation with Oregon’s Health System Reform – see specifically page 12 for information on transparency, rate review, and measurement dashboard.

 

Other Resources

The Basics of All-Payer Claims Databases: A Primer for States

Realizing the Potential of All-Payer Claims Databases: Creating the Reporting Plan

A Comparative Analysis of Claims-Based Tools for Health Risk Assessment

Episode-Based Physician Profiling: A Guide to the Perplexing

 

 

Expert Perspectives

September 24, 2020

Maintaining Medicaid and CHIP Coverage Amid Postal Delays and Housing Displacements

In light of recent postal delays and housing displacements caused by the COVID-19 pandemic and related economic crisis, and a wave of natural disasters across the country, state Medicaid and Children’s Health Insurance Program (CHIP) agencies face new challenges communicating with their enrollees about their health coverage. Acting now to mitigate these challenges is essential as states are preparing for the end of the public health emergency (PHE) and “catching up” on coverage renewals for a large portion of their enrollees. This expert perspective reviews strategies that state Medicaid and CHIP agencies may consider to help mitigate coverage losses.