Payer Data Reporting: Relative Price (RP)


Relative Price (RP)
Report Resources

 

Reporting Templates (Updated November 10, 2022)

 

Submission Deadlines

  • Hospitals – October 25, 2022
  • Physician Groups – November 1, 2022 
  • Other Providers – November 10, 2022

Overview

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 on Relative Price (RP) data.

 

Filing Application

The blue box on the right of this page contains the relative price reporting resources. The submission deadlines for relative price reporting (as also outlined in the gray box on the right of this page) are:

  • Hospitals – October 25, 2022
  • Physician Groups – November 1, 2022 
  • Other Providers – November 10, 2022

 

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

 

Update for 2022 Filing

New this year, CHIA has removed reporting of Service Category from the data specification manual and submission template. This element was added for the 2021 reporting year and resulted in inaccurate reporting of multiplier data by some insurers in the market. To eliminate confusion and ensure accuracy, this element has been removed for the 2022 reporting year which reverts back to how information was reported in 2020 and prior years. Insurers should be reporting data by Service Field, where the services reported align with how each insurer negotiates their provider contracts.

 

Questions

For questions specifically related to payer data reporting, please email Lisa.Ahlgren@chiamass.gov.