New Hampshire
Title or Name of APCD System:
New Hampshire Comprehensive Health Care Information System
Category:
Existing
Who Maintains the System:
The NH Insurance Department and NH Department of Health and Human Services partner to maintain NHCHIS
Website:
First Year APCD Collected Data:
2005
APCD Snapshot:
The New Hampshire Comprehensive Healthcare Information System began accepting claims submissions in 2005 in response to a need for more transparency in the commercial insurance system. The drivers listed in their statute include the provision of a resource for continuous review of health care utilization, expenditures, and performance data by insurers, purchasers, employers, providers and state agencies. Also expressed was the goal to help consumers and employers make informed and cost effective health care choices. In addition, data were desired for comparison to Medicaid quality, cost, utilization, and price.
Number of Commercial Sources of Claims Data:
26
Sources and Status of APCD Data Collection
| Payers | Currently Collected | Planned Collection |
|---|---|---|
| Commercial Payers | Yes | -- |
| Third Party Administrators/Self-Funded | Yes | -- |
| Medicaid | Yes | -- |
| Medicare | Yes | -- |
| Types of Data Collected | Currently Collected | Planned Collection |
|---|---|---|
| Medical Claims | Yes | -- |
| Eligibility | Yes | -- |
| Dental | Yes | -- |
| Pharmacy | Yes | -- |
| Other | Also planned is the collection of some form of uninsured claim information. | |
Primary Users/Uses:
For the NH Department of Health and Human Services, Office of Medicaid Business and Policy (OMPB), the reporting agenda is focused on how health care quality, access, use, and cost vary geographically, between providers, and most importantly between the Medicaid-covered and commercially insured populations as well as benchmarking of payment rates. The NHID is using the claims data to better understand the health insurance market in New Hampshire as well as to provide New Hampshire residents with information about the cost of health care services. To date, the NHID has developed the NH HealthCost website for insurers and is in the process of developing a second website for employers.
Future Plans:
None at this time.
Consumer Website:
State Specific Resources:
NH CHIS Newsletter, December 2012
A Study of Ground Ambulance Transport Commercial Claims Data, NHID, February 2011
Payments to providers: an inside look at carrier discounts, NHID, January 2010
The Impact of Price Transparency on HealthCost Services in New Hampshire, NHID, August 2009
Report on Patient Contributions to Medical Expenses, NHID, May 2008
Contact Information:
For more information please contact Mary Fields at Mary.Fields@dhhs.state.nh.us.