Access to Claims Data
AMGA has conducted annual risk-readiness surveys of our membership to obtain a snapshot of the progress and challenges providers face during the value-based transformation of the U.S. healthcare system. In the surveys, AMGA members repeatedly expressed concern with the lack of access to timely commercial payor administrative claims data as the most significant barrier to assuming risk and transitioning to value-based care. Successfully managing a patient population requires that providers have access to the data to ensure the most effective course of action in improving health outcomes. With this data, it is easier to manage the cost and quality of a population of patients, which is a goal of moving to value-based care. Policymakers must require commercial payors provide access to commercial claims data to patients and providers.