Public comment period for WA-APCD data request
Through September 4, 2021 at 5:00 p.m. (Pacific), the Health Care Authority (HCA) is seeking public comment for a recent data request.
Under WAC 182-70-230, the lead organization must establish a transparent process for the review of data requests, which includes a process for public review for specific requests. …The process must also include the ability for the public to comment on requests that include the release of protected health information or proprietary financial information or both. …The time frame for public comment should not be less than fourteen calendar days. The lead organization must post the final decision for the request within seven days after the decision is made.
Public comment
Public comment is open to anyone who would like to share feedback. We encourage health care and social service providers, managed care organizations, hospitals and health systems, medical associations, Tribes, Accountable Communities of Health, and the public to provide input.
The data request
Use case submitted:
March 2021
Data Requestor:
RAND Corporation
Data type:
Protected Health Information and Proprietary Financial Information
E-mail public comments to:
apcd@hca.wa.gov
Public comment schedule:
August 20, 2021 – September 4, 2021
Title:
Hospital Price Transparency Study, Round 4
Summary:
Researchers at the RAND Corporation will reprice commercial medical claims from MHDO using Medicare's groupers and pricing algorithms and will release a public research report that includes commercial prices as a percent of Medicare prices for hospitals and hospital systems identified by name. This research report will update and expand on the findings in a RAND reports released in May 2019 and September 2020. The public research report will include hospitals from around the country and will be created using claims data from three sources: self-insured employers, state-based all payer claims databases (APCDs), and health plans. Benefit to Citizens of Washington: This project will benefit the people of Washington by providing them with a detailed hospital price report for hospitals in Washington, as well as comparisons among hospitals in Washington versus hospitals in other states. Key audiences for the report will be (1) self-insured employers that participate in the study and that are assessing the reasonableness of the prices they are paying for hospital care, (2) other employers that are struggling with high and rising health care costs and that want to better understand patterns and trends in hospital prices, and (3) policymakers and researchers who are concerned with hospital pricing and price transparency.
This request is for receipt commercial medical files and includes the following Protected Health Information and Proprietary Financial Information data elements: dates of service; paid amount, copay amount, coinsurance amount, deductible amount, provider NPI. Study protocol has been reviewed and approved by the RAND Human Subjects Protection Committee (HSPC) IRB and is currently under final evaluation by the WA-APCD program.
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