Stock

Can a payer database lower health care costs?

Dunleavy says transparency will lower costs

Gov. Mike Dunleavy is proposing the creation of a statewide database of insurance costs and payments, what’s known as an All-Payer Claims Database as a means of lowering the state’s health care costs.

In a bill submitted to the Alaska State Legislature Wednesday, Dunleavy proposed mandating insurers and providers disclose cost information, while data would be collected voluntarily from other entities like self-funded payers, such as AlaskaCare and health care trusts, according to a news release.

The APCD would be established within the Division of Insurance, the governor’s office said.

“Providing transparency in Alaska’s health care system is the first step towards stabilizing and reducing the cost of health care in Alaska,” Dunleavy said in the release.

Twenty states have already adopted APCDs, according to the governor’s office, including Washington and Oregon and the federal Transparency in Coverage Final Rule and No Surprises Act includes federal funding for establishing state APCDs.

[Vaccine clinic registration to open early for seniors]

A 2018 study from the National Conference on State Legislatures said that it was unclear whether APCDs help states control costs. The study looked at 11 states that had implemented APCDs by 2010 but said it was too soon to tell if the databases helped states keep costs down.

“An APCD will allow us, for the first time, the ability to collect health care cost data from multiple payers across the state,” said Division of Insurance Director Lori Wing-Heir said. “he cost is detrimental to individuals and employers, regardless of how their health care is funded.”

The proposal was made at the suggestion of the Alaska Health Care Transformation Project, a group of health care providers, lawmakers and health care advocacy groups. Among the project’s participants are the Alaska Native Tribal Health Consortium; Alaska Mental Health Trust Authority and the Department of Health and Social Services.

In a news conference Wednesday, Senate Health and Social Service Committee Chair Sen. David Wilson, R-Wasilla, said he was familiar with the concept and looked forward to digging into the governor’s bill.

“It’s not a new subject,” Wilson said. “It’s just one tool in the toolbox we can utilize to control costs”

• Contact reporter Peter Segall at psegall@juneauempire.com. Follow him on Twitter at @SegallJnuEmpire.

More in News

(Juneau Empire file photo)
Aurora forecast through the week of Nov. 17

These forecasts are courtesy of the University of Alaska Fairbanks’ Geophysical Institute… Continue reading

(Michael Penn / Juneau Empire file photo)
Police calls for Wednesday, Nov. 20, 2024

This report contains public information from law enforcement and public safety agencies.

The U.S. Capitol Christmas Tree reaches Washington, D.C., on Wednesday, Nov. 20, to much celebration. (U.S. Capitol Christmas Tree photo)
Santa’s truck-driving helpers are east bound and down to Washington, DC

U.S. Capitol Christmas Tree completes multiweek cross-country journey from Wrangell.

The Palmer project would sit in the watershed of the Chilkat River, pictured here. (Scott McMurren/Flickr under Creative Commons license 2.0)
Japanese smelting giant pulls out of major Southeast Alaska mining project

Palmer development, above the salmon-bearing Chilkat River, has for years fueled political divisions.

Juneau Police Department cars are parked outside the downtown branch station on Thursday. (Mark Sabbatini / Juneau Empire)
JPD’s daily incident reports getting thinner and vaguer. Why and does it matter?

Average of 5.12 daily incidents in October down from 10.74 a decade ago; details also far fewer.

(Michael Penn / Juneau Empire file photo)
Police calls for Monday, Nov. 18, 2024

This report contains public information from law enforcement and public safety agencies.

The Douglas Island Breeze In on Wednesday. (Mark Sabbatini / Juneau Empire)
New owner seeks to transfer Douglas Island Breeze In’s retail alcohol license to Foodland IGA

Transfer would allow company to take over space next to supermarket occupied by Kenny’s Liquor Market.

A butter clam. Butter clams are found from the Aleutian Islands to the California coast. They are known to retain algal toxins longer than other species of shellfish. (Photo provided by the Washington Department of Fish and Wildlife)
Among butter clams, which pose toxin dangers to Alaska harvesters, size matters, study indicates

Higher concentrations found in bigger specimens, UAS researchers find of clams on beaches near Juneau.

Most Read