FAIR Health is an established non-profit that already has such a database of payments, and it was funded by the settlement of suits against the plans that abused the INGENIX scheme. FAIR Health has an elaborate audit mechanism in place to ensure that claims data submission to the database is NOT selective. The objective of FAIR Health is to shed light on provider charges and health plan payments, not to manipulate the market for these services. We should be looking to FAIR Health, or similar truly independent all payer database managers, to collect this data and offer it to consumers and policy makers.
Reprinted with permission from The Fickle Finger.
Dr. Riner is a retired emergency physician, a health care consultant and expert witness, and the author of The Fickle Finger blog.
Pages: 1 2 | Single Page
No Responses to “Can We Trust Health Plan Data? Health Plans Contribute Data to Health Care Cost Institute All-Payer Claims Database”