The Department of Health Care Access and Information (HCAI) is releasing the September Health Care Payments Data (HPD) Quarterly Newsletter. The newsletter is designed to keep stakeholders informed on programmatic updates including information about the upcoming Advisory Committee Meetings, relevant federal updates impacting All Payer Claims Databases (APCD) and HPD careers.
HPD Programmatic Updates
Save the date for HPD’s Submitter Group Meeting: The fourth quarter HPD Submitter Group meeting will be held on October 13, 2022. The agenda and instructions to register are posted to the HPD Program Submitters website.
Historical Production Data File Submission: Registered submitters have until October 28, 2022 to submit historical production data files per California Code of Regulations Section 97351. HCAI and Onpoint Health Data meet regularly with submitters to assist with historical production file submissions. Please contact the HPD program at hpd@hcai.ca.gov regarding questions or concerns with meeting this regulatory requirement.
Annual Plan and Submitter Registration: HPD’s annual plan and submitter registration updates are just around the corner! Per California Code of Regulations Section 97334, health plans and submitters are required to update and confirm all registration information annually by the last calendar day of February. More information about registration renewal is coming soon.
HPD System Data Collection: Commercial submitters are actively testing historical submissions and a number are submitting production data. All Medicare Fee-for-service and Department of Health Care Services production files for the period of 2018 to 2020 have been processed by the HPD system.
Data Release Regulations and Certification of HPD Emergency Regulations: HCAI held a meeting on August 10, 2022 to gain input regarding proposed data release regulations for the HPD Program. Efforts are underway to draft data release regulations. These regulations will be noticed for public comment early next year. HCAI is also preparing to certify HPD’s emergency regulations, which took effect on December 20, 2021. HCAI has until December 20, 2023 to complete the certification process.
Participation in National Workgroups: HCAI and the HPD Program continued its participation in the APCD Council’s All-Payer Claims Database Common Data Layout (APCD-CDL™) Data Maintenance Request (DMR) workgroup, helping develop the APCD-CDL™ version 3.0 layout to collect healthcare claims data from payers in California using the national standard. HCAI and the HPD Program also continued participation in the Non-Claims-Based Payments workgroup, in an effort to develop a national standard for collecting Alternative Payment Model data from payer and provider organizations.
HPD Advisory Committee
HCAI is hosting the next HPD Program Advisory Committee Meeting on October 27, 2022. The meeting will be held from 9:00 a.m. to 12:30 p.m. (PST).
As of July 1, 2022, the Bagley Keene Open Meeting Act provisions have been revised for the next fiscal year, to allow for meetings to be held virtually. The October HPD Meeting will be held in a hybrid format allowing members of the public and committee members to attend in person or via Microsoft Teams.
The October meeting will focus on an update about HPD public reporting as well as long term HPD funding.
The agenda and all other meeting materials will be posted on the HPD Advisory Committee website prior to the meeting.
2022 Advisory Committee Anticipated Topics
- October 2022
- Progress updates
- Funding options
- Public reporting priorities
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About the HPD Program
Assembly Bill 80 (Chapter 12, Statutes of 2020) provides HCAI the authority to establish the Health Care Payments Data Program (HPD), often referred to as an All Payer Claims Database or APCD, which is intended to support greater health care cost transparency, inform policy decisions supporting quality health care, and to reduce health care costs and disparities.
To find out more please visit HCAI’s HPD Webpage or email hpd@hcai.ca.gov. If this newsletter was forwarded to you, and you would like to receive future ones please subscribe to “Healthcare Payments Database News” here.