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New Mexico DOH to Launch Healthcare Price Transparency Tool

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The New Mexico Department of Health (DOH) is a step closer to its goal of establishing an extensive new health insurance claims database designed to help monitor the growth of costs, improve quality, and make healthcare prices charged by providers and insurers across the state more accessible and transparent.

When fully operational in late 2023, the state’s All Payer Claims Database (APCD) will include cost, quality and other data that’s never before been available to the public.

DOH worked with Milliman MedInsight to collect paid medical and pharmacy claims information from private insurance companies as well as Medicare and Medicaid. More than 20 other states have established similar databases over the past two decades, creating important tools that are now being used to better understand and address factors driving up the cost and utilization of healthcare services and improve quality.

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