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.