Montgomery County lawmakers: Hoosiers can use new online tool to compare health care prices, quality

Posted by: Wade Coggeshall  | Tuesday, October 8, 2024

STATEHOUSE (Oct. 8, 2024) Area legislators encourage Hoosiers to take advantage of a new state website to compare health care prices and quality.

In 2020, state lawmakers passed a law establishing the newly launched Indiana All Payer Claims Database, which is overseen by the Indiana Department of Insurance, to help increase transparency in health care costs. The website collects insurance claims data from public and private health care payers to track the cost, utilization and quality of health care across the state.

"Hoosiers should have the ability to make informed decisions when it comes to their health care," said State Rep. Beau Baird (R-Greencastle). "This tool offers a straightforward way to compare costs and quality, helping individuals find the care they need."

State Rep. Jeff Thompson (R-Lizton) said the APCD lets Hoosiers search what other patients have paid for common procedures across regions, providers and insurance plans. Additionally, the database includes a list of health care providers that perform services within certain distances from a zip code, the average out-of-pocket costs for a service and the quality rating for that facility. For example, Hoosiers needing a knee replacement can select their insurance, procedure and zip code on the database to view a list of nearby health care providers that perform the service, the quality rating for that facility and the average out-of-pocket cost.

"Hoosiers deserve to know how much they will owe for a procedure and be able to look at different options before receiving treatment," Thompson said. "This database can help ensure patients are given an accurate picture of their medical expenses, so they can make more informed decisions regarding their health care."

According to State Rep. Sharon Negele (R-Attica), the goals of the database are to inform Hoosiers seeking medical care, identify state health care needs, support health care policy, and improve the quality and affordability of health care in the state.

"No one wants to overpay on services or get stuck with high out-of-pocket costs," Negele said. "With this new database, consumers can compare and research providers, availability and service costs to determine what best fits their needs and budgets."

State Rep. Mark Genda (R-Frankfort) said information collected by the APCD complies with the security standards outlined in the U.S. Health Insurance Portability and Accountability Act also known as HIPAA and the U.S. Health Information Technology for Economic and Clinical Health Act. Onpoint Health Data, the Indiana APCD administrator, is also certified by HITRUST, an industry-leading standard in health data security that uses both federal and state security requirements.

"Whether it's looking up the average cost of an x-ray or comparing the costs of a procedure at different locations, this tool can help Hoosiers ensure they are getting the best quality and price," Genda said. "Many consumers want to know their out-of-pocket expenses upfront and the availability of care nearby before deciding whether to move forward with a procedure, and that's why this website can be a great resource."

Hoosiers can visit apcd.idoi.in.gov to compare health care prices and quality, and find out more information. Questions and suggestions for the current or future reports and dashboards can be submitted by email at apcd@idoi.in.gov.

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State Rep. Beau Baird (R-Greencastle) represents House District 44,
which includes all of Putnam County and a portion of Montgomery County.
Click here to download a high-resolution photo.

State Rep. Mark Genda (R-Frankfort) represents House District 41,
which includes portions of Boone, Clinton, Montgomery and Tippecanoe counties.
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here to download a high-resolution photo.

State Rep. Sharon Negele (R-Attica) represents House District 13,
which includes all of Benton and Warren counties and portions of Fountain, Jasper,
Montgomery, Newton, Tippecanoe and White counties. 
Click 
here to download a high-resolution photo.

State Rep. Jeff Thompson (R-Lizton) represents House District 28,
which includes portions of Boone, Hendricks and Montgomery counties.
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here to download a high-resolution photo.