Highest Rated Comments

ballroomaddict169 karma

This data is actually readily available in states that have All-Payers Claim Databases (APCDs), a list of which may be found at apcdcouncil.org.

In Massachusetts, the state with the longest-running APCD, Medicare and Medicaid have access to the contractual rates of commercial insurance and annually request the data so they can adjust their allowed amounts accordingly.

ballroomaddict107 karma

Do you get muscle fatigue when you work out/exercise? I understand that when your muscles begin to "mature", you need to stretch more, get more muscle and joint aches, etc. Have you noticed any changes along those lines?

ballroomaddict23 karma

For private companies, yes. For government agencies, no - policymakers get access to the data typically at cost (<$5k)

ballroomaddict11 karma

Check out FHIR - fast healthcare interoperability resources

It's set to replace HL7v2/3 and will be integrated into Epic, Cerner, Centricity, Allscripts, Athenahealth, eClinicalworks, and more. They've standardized the integration for authentication and sharing of data, as well as "clinical" data (immunization history, prescriptions, etc) and are currently working on administrative resources (e.g., Appointments) and financial resources (e.g., Claims).

This will allow such resources to be shared across EMRs without transferring files via REST api.

tl:dr; soon all major EMRs will have something like "XYZ hospital would like to access:

  • Your family history
  • Your prescriptions ..."

ballroomaddict10 karma

What state? In MA, contributing entities get their data back free, government gets it at cost, researchers get a huge discount (3.5k-14k depending on data set and timeframe), then 37k-120k for for-profit entities