Question

In: Operations Management

Are insurance claims data valid measures of clinical diagnosis and treatment?

Are insurance claims data valid measures of clinical diagnosis and treatment?

Solutions

Expert Solution

Insurance claims data is a rich source of information for measuring public health status and utilization of infrastructure. However, there are practical challenges in using the data which renders it less useful. Challenges include

  • Difficulties in cleaning data and substituting missing entries
  • Different formats of different platforms
  • Disparate definition of measures

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