You are here:HomeIssuesHealth Care Reform2010Feds Ready National Healthcare Claims Database

Feds Ready National Healthcare Claims Database

The federal government intends to form a nationwide database of healthcare claims data of individuals covered under three government health plans. The Health Claims Data...
October 13, 2010

The federal government intends to form a nationwide database of healthcare claims data of individuals covered under three government health plans. The Health Claims Data Warehouse will include individuals covered under the existing Federal Employee Health Benefit Program as well as two programs created under the health reform law - the National Pre-Existing Condition Insurance Program and the Multi-State Option Plan. The Office of Personnel Management said it will regularly evaluate the collected data -- which could include name, Social Security number, spouse and dependent names, employment information, procedures and diagnoses, and provider charges and reimbursement - to, it says, determine the best value for enrollees and taxpayers.

The data will be shared with other entities for law enforcement purposes, congressional inquiries when individuals request assistance from their congressional office, judicial and administrative proceedings, national archives and records administration, within the Office of Personnel Management for statistical/analytical studies, and for litigation in which the office is authorized to appear. The warehouse will maintain records for seven years before destroying them by electronic erasure. Individuals will have the right to find out if the warehouse contains information about them and to request amendment of records.

Click here to read Feds Ready National Health Claims Database (Health Data Management 10/8/2010)

Filed under: