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How Payers, Providers Could Streamline Medical Claims Management

All-Payer Claims Databases Offer Insights into Healthcare Spending

By: | Tags: , , , , | Comments: 0 | February 15th, 2018

The data from an all-payer claims database can reduce wasteful healthcare spending by supporting population health and analytics-driven healthcare decision making.
“All-payer claims databases (APCDs) allow payers, providers, and regulators to analyze claims from millions of beneficiaries to learn where spending is directed and whether or not spending on certain healthcare services is avoidable. State-level all-payer claims databases can help stakeholders to manage population health and identify opportunities to reduce wasteful or preventable healthcare spending within the commercial and public insurance sectors. Sixteen states currently have APCDs in operation, while many more are considering developing regional systems that allow public access to data on provider charges, payments, diagnoses, and patient demographics.” Read the full article.
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