Collecting and reporting data is a major source of strain on providers and payers due to the increasing number of required quality metrics and disparate data systems used across the healthcare system. Learn how Covered California and Health Net implemented a novel approach to data exchange that improved quality measure performance and reduced the cost and burden of quality reporting. Covered California, a state-run health insurance marketplace connecting 1.7 million Californians to insurance through the Affordable Care Act, uses an all-payer claims database with data collected since 2014.

In 2023, Health Net, serving over 106,000 members, partnered with Covered California to extract historical cancer screening data for enrollees previously covered by other plans. This initiative led to the annual exchange of historical cancer data across all plans, enhancing provider workflow and patient experience by preventing unnecessary repeat tests.

Learn How To:

• Implement the methodology used by Covered California to fulfill data requests.
• Understand the impact of data exchange on health plans.
• Evaluate the downstream impacts, costs, provider workflow, and patient experience resulting from data exchange.
• Improve patient experience by limiting unnecessary outreach and preventing potential confusion.
• Facilitate annual exchanges of historical health data across multiple plans.