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Better sharing of health claims data needed: NBCH

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SCOTTSDALE, Ariz.--Health plans could do a better job of sharing information with employers to enable improvements in patient safety, care coordination and consumerism, according to the eValue8 report on health plan performance released this week by the National Business Coalition on Health.

NBCH's eValue8 program is a standardized request-for-information tool that employers and coalitions use to gather health care data from nearly 200 health plans and insurers nationwide. More than 100 million Americans are enrolled in health plans that respond to the eValue8 request for information.

"This year's eValue8 results prove health plans are collecting information that would be helpful to doctors and patients. However, many are not leveraging it to improve health and health care," said Andrew Webber, president and chief executive officer of NBCH, in a press release issued Monday at the organization's annual conference in Scottsdale, Ariz.

"NBCH and its coalition members call on health plans to better utilize the trove of claims data at their fingertips to provide information for consumers," Mr. Webber said.

Among the significant findings in the report, "Connecting the Dots in Health Care," are:

  • All surveyed plans said they offer provider directories. However, only 58% said they provided information on office hours, while 60% reported providing publicly available, evidence-based measures of quality. Moreover, only 28% provide mortality or complication rates, and just 31% provide patient experience data.
  • Only 28% of plans provide information on a physician's accessibility for e-mail communications, and just 15% include information on the availability of Web consultations.
  • Although health plans said they have the ability to implement value-based plan designs to encourage members to obtain needed care, only 38% of health plans indicated they currently modify copayments for pharmaceuticals, tests and/or equipment for diabetics, and only 28% modify deductibles. For depression, only 15% of health plans currently modify copayments, and just 11% lower deductibles.
  • The complete eValue8 report can be accessed at http://nbch.org.