Payer Data Reporting: APM, TME, RP


Resources for Reporting

Filing Deadlines
for 2017

Deadline
Data File

Monday, May 1, 2017
  • CY2015 Final TME
  • CY 2016 Preliminary TME
    (+ IBNR)

Friday, June 2, 2017
  • CY2015 Final APM
  • CY 2016 Preliminary APM
    (+ IBNR)

Friday, June 30, 2017
  • CY 2016 Hospital RP

Friday, July 14, 2017
  • CY 2016 Other Provider RP
  • CY 2015 Physician Group RP

M.G.L. c. 12C, § 10 requires the Center for Health Information and Analysis (CHIA) to collect certain information from both private and public health care payers in the Commonwealth.

Payers must submit data annually in accordance with regulation 957 CMR 2.00.  This regulation governs the methodology and filing requirements for health care payers to calculate and report:

  • Alternative Payment Methods (APM)

  • Relative Price (RP)

  • Health Status Adjusted Total Medical Expenses (TME)

 

For more information on filing deadlines and regulatory guidance, please refer to Regulation 957 CMR 2.00 (Payer Data Reporting) and the latest Administrative Bulletins.

For questions specifically related to payer data reporting, please email CHIA at TMERP@state.ma.us.