State Healthcare Claims Database

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All-Payer Claims Databases Agency for Healthcare Research and …

(1 days ago) WEBAll-payer claims databases (APCDs) are large State databases that include medical claims, pharmacy claims, dental claims, and eligibility and provider files collected from …

https://www.ahrq.gov/data/apcd/index.html

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State All-Payer Claims Databases: Tools for Improving Health Care …

(2 days ago) WEBBy aggregating data on patient services that insurers and public programs pay for, all-payer claims databases can aid states’ efforts to control rising costs and …

https://www.commonwealthfund.org/publications/fund-reports/2020/dec/state-apcds-part-1-establish-make-functional

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Linking State Health Care Data to Inform Policymaking - ASPE

(1 days ago) WEBThis posting includes a report prepared by the RAND Corporation, “State All Payer Claims Databases Understanding the Current Landscape and Challenges to …

https://aspe.hhs.gov/reports/all-payer-claims-data-bases-2022

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All-Payer Claims Databases: Unlocking Data to Improve …

(4 days ago) WEB17 State Health Access Data Assistance Center, Maine’s Healthcare Claims Database Website. 18 The Network for Excellence in Health Innovation, All Payer Claims Databases: Unlocking the Potential, Issue …

https://www.healthcarevaluehub.org/advocate-resources/publications/all-payer-claims-databases-unlocking-data-improve-health-care-value

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Databases Containing Claims for Payment The Center for …

(4 days ago) WEBDatabases Containing Claims for Payment. Medicare claims: Medicare claims come in a number of forms, including random 5% and 20% samples, a 100% sample (very hard to …

https://healthvalue.ucsf.edu/databases-containing-claims-payment

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State All-Payer Claims Databases: Tools for Improving Health …

(1 days ago) WEBState All-Payer Claims Databases: Tools for Improving Health Care Value PART 1 5 State-authorized APCDs typically have state-appointed advisory committees to promote …

https://www.commonwealthfund.org/sites/default/files/2020-12/McCarthy_State_APCDs_Part1_Report_v2.pdf

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State All-Payer Claims Databases, Part 2 - Commonwealth Fund

(Just Now) WEBAbstract. Issue: Many states and stakeholders are seeking to control the rising cost of health care and increase its value. All-payer claims databases (APCDs) …

https://www.commonwealthfund.org/publications/fund-reports/2020/dec/state-apcds-part-2-uses-benefits

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APCD Council University of New Hampshire

(8 days ago) WEBAPCD programs and submitters are invited to share feedback on proposed non-claim-based payment file layouts and introductory language ("front matter") during a meeting …

https://www.apcdcouncil.org/

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Health Care Payments Data (HPD) - HCAI

(3 days ago) WEBThe Health Care Payments Database (HPD) is California’s All Payer Claims Database or APCD. The HPD is a research database comprised of healthcare …

https://hcai.ca.gov/data/cost-transparency/healthcare-payments/

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All-Payer Claims Datasets :: Altarum - Healthcare Value Hub

(2 days ago) WEBLiberty Mutual. On March 1, 2016, in a 6-2 decision, the U.S. Supreme Court ruled that Vermont cannot force self-insured health plans to submit medical claims data to the …

https://www.healthcarevaluehub.org/improving-value/browse-strategy/all-payer-claims-datasets

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Minnesota All Payer Claims Database - MN Dept. of Health

(1 days ago) WEBMinnesota All Payer Claims Database. In 2008, the Minnesota Legislature passed groundbreaking health reform legislation that, among other initiatives, charged …

https://www.health.state.mn.us/data/apcd/index.html

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All-Payer Claims Database

(5 days ago) WEBThe Georgia All-Payer Claims Database (APCD) is a collection of healthcare claims data for both public and private insurance plans in Georgia. The goal f Organizations The …

https://apcd.georgia.gov/

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Healthy NJ 2020 - The Official Web Site for The State of New Jersey

(4 days ago) WEBHealthy New Jersey 2020 was the basis for the latest State Health Assessment and State Health Improvement Plan and was the state's health promotion and disease prevention …

https://nj.gov/health/chs/hnj2020/

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Utah All-Payer Claims Database (APCD) Data Submission Guide

(8 days ago) WEBprovider delivers health care services 10 MP010 Provider Office City varcha r 30 Physical address – city where provider delivers health care services 11 MP011 Provider Office …

https://healthcarestats.utah.gov/wp-content/uploads/APCD-DSG-4.2-Redline-unformatted.pdf

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBHorizon NJ Health Claims Processing Department PO Box 24078 Newark, NJ 07101 Horizon NJ Health does not accept handwritten or black and white claims. Claim …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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FTCA Policies and Program Guidance Bureau of Primary Health Care

(3 days ago) WEBThe Free Clinics FTCA Program Policy Guide is the primary source for information on the Free Clinics FTCA Program. This PIN explains and outlines the policies for the Free …

https://bphc.hrsa.gov/compliance/ftca/policies-program-guidance

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MassHealth Provider Billing and Claims Mass.gov

(9 days ago) WEBMassHealth Pharmacy Claims, Conduent: Call MassHealth Provider Billing and Claims Customer Service, MassHealth Pharmacy Claims, Conduent: at (866) 246-8503 This …

https://www.mass.gov/masshealth-provider-billing-and-claims

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WEBAddress for Paper Claims and other billing forms Horizon NJ Health Claims Processing Department PO Box 24078, Newark, NJ 07101 Horizon NJ Health does not accept …

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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Quick Reference Guide for Horizon Behavioral HealthSM …

(1 days ago) WEBClaims Inquiries: 1-800-626-2212 1-800-991-5579 (for NJ State Health Benefits Program only) Address for claims submitted via paper: Horizon BCBSNJ Horizon Behavioral …

https://s21151.pcdn.co/wp-content/uploads/HBH_QRG_HBCBSNJ.pdf

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Change Healthcare cyberattack was due to a lack of multifactor

(9 days ago) WEB3 of 5 . Protesters hold up signs saying “Stop Denying Us Care” as Andrew Witty, Chief Executive Officer of UnitedHealth Group, front, gathers his papers after …

https://apnews.com/article/change-healthcare-cyberattack-unitedhealth-senate-9e2fff70ce4f93566043210bdd347a1f

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Profiles of State All-Payer Claims Databases - Commonwealth …

(1 days ago) WEBBelow we present profiles of eight state all-payer claims databases (APCDs) discussed in the two-part series. State All-Payer Claims Databases: Tools for Improving Health …

https://www.commonwealthfund.org/sites/default/files/2020-12/McCarthy_State_APCD_Profiles_Dec2020.pdf

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The hazards of excessive insurance claim denials - STAT

(6 days ago) WEBPrivate payers overturned denials at a higher rate (54.3%) than Medicare and Medicaid (47.9%). But the process of denial and ultimate approval comes with a cost: …

https://www.statnews.com/2024/05/01/insurance-claim-denials-compromise-patient-care-provider-bottom-lines/

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Expanding and Enhancing All Payer Claims Database System …

(3 days ago) WEBThe National Association of Health Data Organizations (NAHDO) and the APCD Council brought together States aggregating health care claims data from …

https://www.ahrq.gov/data/apcd/confrpt.html

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Preventing the Next Big Cyberattack on U.S. Health Care

(8 days ago) WEBThe cyberattack on Change Healthcare that devastated the U.S. health care sector made painfully clear that much more needs to be done to address vulnerabilities …

https://hbr.org/2024/05/preventing-the-next-big-cyberattack-on-u-s-health-care

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State Of Franklin Healthcare Associates Agrees To Resolve …

(Just Now) WEBKNOXVILLE, Tenn. – On May 2, 2024, United States Attorney Francis M. Hamilton III announced that State of Franklin Healthcare Associates, PLLC (SOFHA), …

https://www.justice.gov/usao-edtn/pr/state-franklin-healthcare-associates-agrees-resolve-potential-controlled-substances

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UnitedHealth Group Updates on Change Healthcare Cyberattack

(8 days ago) WEBOptum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. …

https://www.unitedhealthgroup.com/newsroom/2024/2024-04-22-uhg-updates-on-change-healthcare-cyberattack.html

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Klobuchar Asks Regulators to Investigate MultiPlan Over Health …

(2 days ago) WEBMay 1, 2024. Recent revelations about a data analytics firm’s role in determining medical payments have heightened concerns about possible price fixing in …

https://www.nytimes.com/2024/05/01/us/multiplan-health-insurance-price-fixing.html

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Change Healthcare hackers broke in using stolen credentials — …

(5 days ago) WEBChange Healthcare processes health insurance and billing claims for around half of all U.S. residents. are the second gang to lay claim to the data theft after …

https://techcrunch.com/2024/04/30/uhg-change-healthcare-ransomware-compromised-credentials-mfa/

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Fact Sheet on FTC’s Proposed Final Noncompete Rule

(6 days ago) WEBSpecifically, the final rule defines the term “senior executive” to refer to workers earning more than $151,164 annually who are in a “policy-making position.”. …

https://www.ftc.gov/news-events/news/press-releases/2024/04/fact-sheet-ftcs-proposed-final-noncompete-rule

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Trial over cancer claims made against heartburn drug Zantac …

(5 days ago) WEBValadez’s suit is one of thousands against the drugmakers. In December 2022, a federal judge in Florida dismissed roughly 50,000 claims because “no scientist outside …

https://chicago.suntimes.com/health/2024/05/02/zantac-cook-county-cancer-lawsuit-gsk-boehringer-ingelheim

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The Protesters and the President - The New York Times

(Just Now) WEBFeaturing Jonathan Wolfe and Peter Baker. Produced by Diana Nguyen , Luke Vander Ploeg , Alexandra Leigh Young, Nina Feldman and Carlos Prieto. Edited by Lisa …

https://www.nytimes.com/2024/05/03/podcasts/the-daily/university-protestest.html

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Dallas Home Health Company to Pay $4.7 Million to Settle False …

(5 days ago) WEBAdvertisement. A whistleblower complaint resulted in Dallas-based Elara Caring paying $4.2 million to settle a False Claims Act allegation that the company …

https://www.dmagazine.com/healthcare-business/2024/05/dallas-home-health-company-to-pay-4-7-million-to-settle-false-claims-allegations/

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Cincinnati natives claim 2024 Flying Pig Half Marathon crowns

(7 days ago) WEBThe Flying Pig Half Marathon winners are both from Cincinnati.Jonathan Harley, who's from Cincinnati, crossed the finish swine at 1:10:44, becoming the men's …

https://www.wlwt.com/article/flying-pig-half-marathon-winners-2024-jonathan-harley-jules/60693703

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Equinix Hit With Shareholder Lawsuit Over Accounting Claims

(4 days ago) WEBTRACK DOCKET: No. 3:24-cv-02656. Equinix Inc. was sued by a shareholder over allegations the data center real estate investment trust manipulates its accounting …

https://news.bloomberglaw.com/securities-law/equinix-hit-with-shareholder-lawsuit-over-accounting-claims

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