ALTERNATIVE PAYMENT METHOD (APM) TRENDS Erin Bonney, Manager of - PowerPoint PPT Presentation

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COLLECTING AND MEASURING ALTERNATIVE PAYMENT METHOD (APM) TRENDS Erin Bonney, Manager of Payer-Provider Performance April 30, 2020 CENTER FOR HEALTH INFORMATION AND ANALYSIS APM Data Collection and Reporting Cycle Data Collection: March

COLLECTING AND MEASURING ALTERNATIVE PAYMENT METHOD (APM) TRENDS Erin Bonney, Manager of Payer-Provider Performance April 30, 2020 CENTER FOR HEALTH INFORMATION AND ANALYSIS
APM Data Collection and Reporting Cycle Data Collection: March – June Planning ▪ Payers submit aggregate data in excel format ▪ Data review: Data Outreach and • Completion checks Publication Annual Report on Collection the Performance • Values in expected range of the MA Health • Trends appear Care System reasonable • Prior submissions comparison Data Report • External data source Consolidation Production and Analysis comparison ▪ Request data resubmissions, as needed 2 Erin Bonney, Manager of Payer-Provider Performance | 4-30-2020
APM Data Collection and Reporting Cycle Data Consolidation and Analysis: June – July Planning ▪ Submissions consolidated into analytic data tables Data Outreach and ▪ Analysis in Excel and Tableau Publication Annual Report on Collection the Performance • Between-payer of the MA Health comparisons Care System • Market-wide trends ▪ “Gut check” initial findings against known Data Report Consolidation Production policy/regulatory changes, and Analysis other reporting 3 Erin Bonney, Manager of Payer-Provider Performance | 4-30-2020
Data Collection and Reporting Cycle Report Production: June – August Planning ▪ Primary storytelling medium: data visualization ▪ Written narrative pulls out Data Outreach and interesting data points and Publication Annual Report on Collection provides context for graphics the Performance of the MA Health ▪ Consult with subject matter Care System experts (incl. other state agencies) ▪ Work with graphic designers to Data Report Consolidation Production create consistent look and feel and Analysis ▪ Databooks, technical appendices 4 Erin Bonney, Manager of Payer-Provider Performance | 4-30-2020
Measuring APMs: Insurance Category 5 Erin Bonney, Manager of Payer-Provider Performance | 4-30-2020
Measuring APMs: Commercial Product Type 6 Erin Bonney, Manager of Payer-Provider Performance | 4-30-2020
Measuring APMs: Payers and Providers 7 Erin Bonney, Manager of Payer-Provider Performance | 4-30-2020
Measuring APMs: Limitations - Aggregate data collection - Data quality, changes in contracts 8 Erin Bonney, Manager of Payer-Provider Performance | 4-30-2020

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