The ACA requires participating plans to provide data for claims, enrollment, cost-sharing and out of network payments.
However, more than a decade after implementation of the the law, data reported by insurers for in-coverage services is still not fully implemented, potentially hampering oversight enforcement and raising more questions than it answers, according to the KFF report released Tuesday.
In addition to a reporting lag, the CMS does not collect data on all fields spelled out in the ACA, including out-of-network claims submitted or cost sharing and payments for out-of-network claims, according to the report.
