Forum Session

Show Me the Data! What's at Stake in the SCOTUS Case on Claims from Self-Insured Health Plans?
February 5, 2016

Manager

Jennifer Jenson, MPH, MPP

Summary

All-payer claims databases (APCDs) supply vital data for health services research and policy decision-making. Generally mandated by states, APCDs include medical claims and related information from public and private payers, including private insurance carriers and third-party administrators. A pending Supreme Court case, Gobeille v. Liberty Mutual Insurance Company, raises the question of whether states can compel self-insured health plans to provide data. This Forum session considered the case and its potential impact on state efforts to create and use APCDs.

Speakers

Trish Riley, MS (bio)
Executive Director
National Academy for State Health Policy
Slides

Kathryn Wilber, JD (bio)
Senior Counsel, Health Policy 
American Benefits Council
Slides

Jennifer J. Patterson, JD (bio)
Health Policy Legal Counsel
New Hampshire Insurance Department
Slides

Jonathan Mathieu, PhD (bio)
Vice President of Research and Compliance
Center for Improving Value in Health Care
Slides

Related Materials

Trish Riley, "What’s at Stake for States? The Lines Are Drawn in Gobeille v. Liberty Mutual," National Academy for State Health Policy, November 2015.

Jo Porter et al., "The Basics of All-Payer Claims Databases: A Primer for States," APCD Council, 2014, pp. 1-2.

Alfred J. Gobeille, in His Official Capacity as Chair of the Vermont Green Mountain Care Board, v. Liberty Mutual Insurance Company, On Petition for a Writ of Certiorari to the United States Court of Appeals for the Second Circuit, August 13, 2014, pp. 14, 16-25, http://sblog.s3.amazonaws.com/wp-content/uploads/2014/10/Gobeille-v-Liberty-Mutual-Cert-Petition.pdf.

Gobeille v. Liberty Mutual, Supreme Court Case No. 14-181, Brief in Opposition [Liberty Mutual Insurance Company], November 6, 2014, pp. 5-6, http://sblog.s3.amazonaws.com/wp-content/uploads/2014/11/2014_11_06-Brief-in-Opposition_138032350_1.pdf.

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