The Clear Path to Health Data Transparency: Leveraging Existing Reporting

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A health care transparency dashboard, health data utility, or all-payer claims database are oft-proposed, related attempts to create a centralized system that combines health care information from multiple sources — such as hospitals, physicians, insurance companies, pharmacies, and public health agencies — into one database. The goal is to create a more complete picture of how health care is delivered, what it costs, and how patients move through the health care system.

The value of using data to improve health care is undeniable, but the process chosen to gather this information and the protection of patient privacy and data security must be carefully weighed. Before creating new reporting requirements for hospitals and other health care providers, Kentucky should fully leverage the extensive health data already collected through existing state and federal systems and carefully evaluate whether any additional reporting would provide sufficient public benefit to justify the added administrative burden.

Below is a high-level overview of the types of health care data proposed during the legislative session for inclusion in an all-payer claims database or health data utility, including whether the data is already collected, and where it is currently available.

Proposed Data

Already Collected?

Current Repository

Medicaid claims

Checkbox with Check in it

DMS

Medicare claims

Checkbox with Check in it

CMS

Hospital discharge data

Checkbox with Check in it

CHFS

Clinical data

Checkbox with Check in it

KHIE

Immunizations

Checkbox with Check in it

KIR

Controlled substances

Checkbox with Check in it

KASPER

Quality measures

Checkbox with Check in it

CMS

Lab reporting

Checkbox with Check in it

KDPH

Vital records

Checkbox with Check in it

KDPH

Commercial claims

Partial

Individual insurers

Social drivers

Fragmented

Census ACS / Individual providers / 
community organizations

Cross-payer linked database

Checkbox with X in it

Not currently centralized

Questions?

James C. Musser, Esq.
Senior Vice President
Policy and Government Relations
Kentucky Hospital Association
(502) 593-2339
jmusser@kyha.com

Bryon Ellis
Associate Vice President
Government Relations
Kentucky Hospital Association
(270) 566-2342
bellis@kyha.com