Actionable Data for States and Communities

Informed by experience, Freedman HealthCare offers the industry's best thinking on the development and operation of All Payer Claims Databases and other multi-payer data projects.

 
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FHC consultants work collaboratively with state agencies, non-profit organizations and others to develop powerful databases that drive change.

 

 

Freedman HealthCare supports clients on the following tasks:

     
     
    All Payer Claims Database

    Building and Sustaining a Database

    • Strategic Planning from Visioning to Sustainability
    • Project Management
    • Vendor Procurement, Selection and Management
    • Submission Guide Development and Data Collection Support
    • Overcoming Legal, Regulatory and Legislative Issues
    • Privacy and Security Planning 
    • Process and Policy Development  
    All Payer Claims Database

    Creating and Sharing Information

    • Choosing Analytic Solutions
    • Improving Data Quality and Timeliness
    • Integration of Claims Data with Clinical and other Data Sets
    • Data Reporting and Analysis
    • Marketing and Communications 
    • Stakeholder Engagement
     

    Freedman HealthCare APCD Clients


    Massachusetts  

    FHC oversaw the system implementation and project management for the MA APCD, including building the MA Healthcare Quality and Cost Council’s private insurance claims dataset. The firm helped design and launch the Council’s website, the first in the nation to display provider-specific quality and cost information simultaneously. For the website, FHC’s team researched existing quality and cost measures, assessed how well measures aligned with the Council’s principles, and facilitated discussions in public meetings to select measures. FHC also supported implementation through the design of reporting and display options and the drafting of consumer-friendly text. After the state’s initial launch, the FHC team brought the MA APCD in-house and oversaw the quarterly refreshes for the website including the upload process. FHC continues to provide ongoing advisory input on the selection of quality and cost measures for the MA website.

    FHC also supported the Massachusetts Connector, the state’s health insurance exchange, in its first-in-the nation use of the APCD to meet data collection requirements for an alternative risk adjustment methodology. FHC’s work includes project management, business process development, data specifications, and carrier engagement.

    Colorado  

    The Center for Improving Value in Health Care (CIVHC) selected FHC to provide strategic planning, project oversight, and subject matter expertise to launch its APCD. FHC led CIVHC’s Advisory Committee which defined its structure and operations including the creation of data specifications that support CIVHC’s strategic goals. In addition, FHC drafted the regulations for data submission by carriers, guided the vendor procurement and selection process, and advised on elements of a consumer- and provider-friendly reporting and website portal.

    FHC also served as the interim project coordinator when the Colorado APCD:

    • Completed its initial data submission phase, collecting historical data for 2.4M Coloradans, and did so only 22 months after statutory authorization;
    • Launched the COhealthdata.org website;
    • Implemented a data release process; and
    • Developed a data compliance strategy.   

    Rhode Island

    In 2010, the RI Quality Institute and the RI Department of Health selected FHC to provide strategic planning and subject matter expertise for the development of the RI-APCD.  In 2012, FHC assumed a project manager role, working closely with the State and its stakeholders to ensure that all APCD milestones and deliverables complete on time, on budget, and with an eye towards sustainability.

    Since then, FHC has provided exploratory analyses, technical and subject matter expertise, and customized project management support as the APCD program embarked on an aggressive timeline to systematically collect and aggregate claims, procure a data intake and analytic vendor, and develop a comprehensive reporting program. 


    Tennessee

    FHC advised the Tennessee Office of Health Planning (OHP) through its critical exploratory process as it determined the extent to which its APCD data could meet its health insurance exchange requirements related to risk adjustment. Through a focused strategy engagement, the FHC team examined the design of the data elements in the context of developing an alternative risk adjustment methodology under the Affordable Care Act. FHC then developed a list of recommendations showing how Tennessee could transform its APCD to support risk adjustment, documenting its findings and recommendations in a written report to OHP.  

     


    Connecticut

    FHC assisted Access Health CT, the Connecticut Health Insurance Exchange, with APCD design and implementation. FHC staff provided technical assistance during legislative deliberations in the spring of 2012. With passage of the law in May 2012, FHC assisted with drafting regulations and advising the state during public comment periods; project plan development; developing a successful budget proposal for federal consideration; and designing an approach to reporting that is consistent with stakeholders’ needs. FHC will now assist the state with designing a data submission guide, preparing a scope of work for a data management vendor, and developing a sustainability plan.  


    Alaska

    The Alaska Health Care Commission engaged FHC to assess the feasibility of an APCD to support a range of analytic, management and reporting goals. A key component of this engagement was a comprehensive stakeholder process in which FHC conducted interviews and focus groups to understand the AK healthcare landscape. FHC met with AK providers, payers and consumers of care; state employees in the areas of administration, insurance and health; representatives from the Alaska eHealth Network, Alaska State Hospital & Nursing Home Association, and Alaska Native Tribal Health Consortium; and researchers.  The FHC team presented findings at the Alaska Health Care Commission’s meetings in October 2012 and March 2013. The presentation materials are available here.