NEW YORK–The Patient Protection and Affordable Care Act could push up the value of the ability to collect and analyze health claims data.
Ashraf Shehata, a KPMG consultant, talked about business opportunities in the health claims data world today at an insurance conference his company organized in New York.
PPACA is making Medicaid programs more attractive, by increasing the amount of cash flowing into Medicaid at a time when other public and private health insurance programs are up against fierce pressure to cut costs, Shehata said.
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PPACA also is giving any intermediary that will control detailed health care cost and quality data extra sizzle.
Providers and carriers will need the data to cut costs, and carriers also will need the data to maximize gains from complicated PPACA risk management programs.
Shehata said New York and other states are trying to get into the data intermediary business with their "all payer claims database" projects.
No one knows if the strategy will work, but "the RFPs are being issued," Shehata said.
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Allison Bell
Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.
