NEW YORK, April 15, 2019 /PRNewswire/ -- Following a
competitive bidding process, the State of
Colorado selected FAIR Health to provide its expertise and
data resources to aid in analyzing, revising and updating
Colorado's workers' compensation
fee schedule. FAIR Health, a national, independent, nonprofit
organization dedicated to bringing transparency to healthcare costs
and health insurance information, will work closely with the
Division of Workers' Compensation to update the Colorado Workers'
Compensation Medical Fee Schedule, including values for medical,
anesthesia, transportation, HCPCS and dental procedures.
The new contract marks the first time FAIR Health will be
supporting Colorado in updating
its workers' compensation fee schedule. In addition to helping to
assure that the fee schedule remains current, comprehensive and
geographically relevant, FAIR Health will participate in meetings
to gather feedback from stakeholders. While using data from the
State of Colorado, FAIR Health
will use its own healthcare database for comparative analysis and
benchmarking.
FAIR Health President Robin
Gelburd stated: "We look forward to assisting the
State of Colorado and the Division
of Workers' Compensation in their efforts to update and maintain a
fee schedule that pertains to the state's specific needs. In our
experience, state fee schedules benefit greatly from addressing the
specific needs of the state and utilizing data that have been
validated by an independent, neutral organization such as FAIR
Health in order to accommodate all stakeholders, including injured
workers."
FAIR Health's experienced team is already working with a number
of other states to develop or support their workers' compensation
fee schedules through data and services to address states' varying
needs. For instance, FAIR Health has been assisting Georgia and Kentucky for many years to update their fee
schedules and is currently assisting the Mississippi Workers'
Compensation Commission with their 2019 fee schedule, which will be
released later this year. FAIR Health data are not only the basis
for fee schedules in some states, but also serve as a primary data
source in many states for private companies that process workers'
compensation claims in the absence of a state fee schedule or when
a procedure is not valued in a state's fee schedule. In addition,
FAIR Health data are referenced in statutes, regulations and
official memoranda around the country as the designated source of
cost information for a variety of other state health-related
programs.
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About FAIR Health
FAIR Health is a national,
independent, nonprofit organization dedicated to bringing
transparency to healthcare costs and health insurance information
through data products, consumer resources and health systems
research support. FAIR Health possesses the nation's largest
collection of private healthcare claims data, which includes over
28 billion claim records contributed by payors and administrators
who insure or process claims for private insurance plans covering
more than 150 million individuals. FAIR Health licenses its
privately billed data and data products—including benchmark
modules, data visualizations, custom analytics, episodes of care
analytics and market indices—to commercial insurers and
self-insurers, employers, providers, hospitals and healthcare
systems, government agencies, researchers and others. Certified by
the Centers for Medicare & Medicaid Services (CMS) as a
national Qualified Entity, FAIR Health also receives data
representing the experience of all individuals enrolled in
traditional Medicare Parts A, B and D; FAIR Health houses data on
Medicare Advantage enrollees in its private claims data repository.
FAIR Health can produce insightful analytic reports and data
products based on combined Medicare and commercial claims data for
government, providers, payors and other authorized users. FAIR
Health has earned HITRUST CSF and Service Organization Controls
(SOC 2) certifications by meeting the rigorous data security
requirements of these standards. As a testament to the reliability
and objectivity of FAIR Health data, the data have been
incorporated in statutes and regulations around the country and
designated as the official, neutral data source for a variety of
state health programs, including workers' compensation and personal
injury protection (PIP) programs. FAIR Health data serve as an
official reference point in support of certain state balance
billing laws that protect consumers against bills for surprise
out-of-network and emergency services. FAIR Health also uses its
database to power a free consumer website available in English and
Spanish and an English/Spanish mobile app, which enable consumers
to estimate and plan for their healthcare expenditures and offer a
rich educational platform on health insurance. The website has been
honored by the White House Summit on Smart Disclosure, the Agency
for Healthcare Research and Quality (AHRQ), URAC, the eHealthcare
Leadership Awards, appPicker, Employee Benefit News and
Kiplinger's Personal Finance. FAIR Health also is named a
top resource for patients in Elisabeth
Rosenthal's book, An American Sickness: How Healthcare
Became Big Business and How You Can Take It Back. For more
information on FAIR Health, visit fairhealth.org.
Contact:
Dean
Sicoli
Executive Director of Communications and Government Relations
FAIR Health
646-664-1645
dsicoli@fairhealth.org
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SOURCE FAIR Health