Solutions Policy Analysis

Policy Analysis

With the knowledge that FAIR Health is independent and that decisions based on our unbiased, objective claims data are broadly accepted across constituent groups, state legislators, government agencies and other stakeholders turn to FAIR Health for assistance in evaluating a wide range of policies and regulations.

Data That Shape Healthcare Policy

Healthcare policy at all levels—national, state, municipal‐is in flux. As the steward of healthcare claims covering more than 150 million privately insured individuals, FAIR Health offers data that paint a clear picture of how the healthcare system is operating today and lay the foundation for informed decisions to effect positive change. Because FAIR Health is known nationwide to be neutral and conflict-free, our trusted, representative claims data can be used to support varied legislative proposals and perspectives. Indeed, state agencies and legislative bodies responsible for a broad range of initiatives frequently turn to FAIR Health data as an invaluable resource for advancing their goals. New York and Connecticut have already enacted legislation using FAIR Health benchmarks as the reference point for consumer protection laws and more than 20 other states have approached FAIR Health for support with their plans to advance similar proposals.

Strategic uses for FAIR Health data by healthcare policy makers include:

  • Consumer protection laws and regulations;
  • Research of intended and unintended consequences of statutes, regulations or public health initiatives;
  • Medicaid fee schedule re-evaluation;
  • Workers’ compensation fee schedule support;
  • Auto liability personal injury protection (PIP) reimbursement standards;
  • Population health studies based on de-identified member data;
  • Analysis of the implications of value-based reimbursement on healthcare cost and quality;
  • Development of reimbursement standards for personal injury protection (auto liability); and
  • Consumer healthcare cost transparency initiatives.