LINKED CLAIMS + EHR DATABASE OVERVIEW
MarketScan® and Veradigm® combined databases consist of:
-
Closed Administrative Claims: Captures all healthcare encounters, services, and treatments submitted for insurance reimbursement.
-
Electronic Health Records (EHR): Adds rich clinical data recorded during ambulatory visits, supporting physician decision-making.
This combination ensures comprehensive administrative data is complemented by clinical details from electronic medical record systems. Together, these elements offer a complete view of medical services and prescribed treatments without losing valuable information.
KEY FEATURES OF THE LINKED DATABASE
-
Contains a Network of EHRs
Data is collected across multiple EHR systems, contributing diverse practice types, sizes, and locations.
-
Health Plan Agnostic
Covers over 300 unique health plans, ensuring no data loss due to annual health plan changes, enabling longer periods of continuous enrollment.
-
Longitudinal Tracking Capabilities
Strong partnerships between providers and EHR vendors, enable tracking of patients over multiple years, allowing researchers to analyze comprehensive datasets for trends, risk factors, and treatment outcomes.
-
Eligibility Information
Monthly enrollment/eligibility data ensures a true denominator. If care is missing for a patient, it reflects actual absence of care rather than unrecorded services.
DETAILED CLINICAL RECORDS INCLUDING:
-
Vital signs (e.g., BMI, blood pressure, etc.) and laboratory results
-
Detailed diagnosis data (beyond specificity of ICD-10)
-
Insight into diagnosing provider
-
Expanded demographics (e.g., race, ethnicity)
COMPREHENSIVE PATIENT RECORDS INCLUDING:
-
Eligibility file facilitates identification of accurate denominators
-
Reflects all diagnoses from all providers
-
Includes complete record of inpatient and outpatient encounters
-
Full, actual cost data