Claims and Provider Payment Data Gaps for Responding to COVID-19

This book highlights limitations in claims data identified during the COVID-19 Public Health Emergency Health (PHE) and provide considerations to address these limitations. It finds that limitations related to claims data were existing issues, exacerbated by, but not unique to, the COVID-19 PHE. The study also found limited transparency about claims data management and availability, as well as limited research utility of claims data alone for the COVID-19 PHE.

This book includes a report by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) in collaboration with NORC at the University of Chicago (NORC) examining the availability and use of non-federal sources of claims and provider payment data during the COVID-19 PHE and an accompanying reflection paper from ASPE.

Contents

• Summary Report Claims and Provider Payment Data Gaps for Responding to COVID-19: ASPE Report
  Richard Dunville, NORC at the University of Chicago, Emily Grenen, NORC at the University of Chicago, Megan Cotter, NORC at the University of Chicago, Meaghan Hunt, NORC at the University of Chicago, Sarah Koltun, NORC at the University of Chicago, Kai MacLean, NORC at the University of Chicago, Jaleh Montazer, NORC at the University of Chicago, Elizabeth Ramirez, NORC at the University of Chicago, Valentina Caro, NORC at the University of Chicago, Violanda Grigorescu, ASPE, Steven Sheingold, ASPE, and Rachael Zuckerman, ASPE.
  Published online: September 2022.
  • Introduction
  • Summary of Cross-Cutting Findings
  • Discussion
  • Conclusions and Next Steps
  • Appendix A. Findings from the Key Informant Interviews and Environmental Scan
  • Appendix B. Findings from the Technical Expert Panel