What Can Data Do?
Health insurance data allows for price and quality comparisons — comparisons between providers, hospitals, and facilities. Who is providing the best service in your area? Which provider is offering a service at the lowest cost? What would be your out-of-pocket costs? Which plans can offer lower costs? Many of these decisions are increasingly being made by consumers as they encounter high-deductible plans. These plans usually require high out-of-pocket costs by plan enrollees meeting a certain level of deductibles before plan benefits are paid by the health plans.
Data allows for observations particularly for the public health perspective — What diseases on the rise? Where are certain diseases more prevalent? Which hospitals are receiving more emergency room visits than others? Which hospitals have with higher re-admission rates than others? What is the total cost of care and how are these distributed by types of services in health care? Does the dispensed care meet national standards like NCQA’s HEDIS? Policy makers and researchers can dig into these and address many such and other questions with APCD data. This data allows for appropriate health policy changes to improve access, reduce disparities, enhance price transparency and address to the health equity areas in the state.
By bringing together data from all of the payers in the state, the Connecticut All-Payer Claims Database makes these comparisons and more possible. Providers and stakeholders will know consumers have access to this information and, hopefully, see opportunities to improve the Connecticut health care marketplace. As researchers analyze the data, solutions can emerge to long-standing problems and health care disparities can be recognized and addressed.