Medical big data has generated much excitement in recent years and for good reason. It can be an invaluable resource for researchers in general and insurers in particular. This Article, however, argues that users of medical big data must proceed with caution and recognize the data’s considerable limitations and shortcomings. These can consist of data errors, missing information, lack of standardization, record fragmentation, software problems, and other flaws. The Article analyzes a variety of data quality problems. It also formulates recommendations to address these deficiencies, including data audits, workforce and technical solutions, and regulatory approaches


Big data, Medical data quality, Electronic health records, Electronic health record problems, Meaningful use regulations, HIPAA Privacy Rule, HIPAA Security Rule

Publication Date


Document Type


Place of Original Publication

Connecticut Insurance Law Journal

Publication Information

21 Connecticut Insurance Law Journal 289 (2015)


COinS Sharona Hoffman Faculty Bio