All-Payer Claims Database Development Manual

West Health Policy Center & APCD Council Launches "All-Payer Claims Database Development Manual: Establishing a Foundation for Health Care Transparency and Informed Decision Making"

The Gary and Mary West Health Policy Center and the APCD Council have launched a manual for states to guide development of all-payer claims databases (APCDs).

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The Basics of All-Payer Claims Databases A Primer for States

Over the past 10 years, a growing number of states have established state-sponsored all-payer claims database (APCD) systems to fill critical information gaps for state agencies, to support health care and payment reform initiatives, and to address the need for transparency in health care at the state-level to support consumer, purchaser, and state agency reform efforts.

APCD Legislation: Review of Current Practices and Critical Elements

This paper is intended for use by states that are considering the development of all-payer claims database (APCD) legislation, or those who are revisiting their current legislation. The goal of this paper is to provide information on the current landscape of APCD legislation while highlighting the most critical features of legislation to date.

Developing an APCD Request for Proposal: Guidance for States

The purpose of this paper is to provide guidance to states that are planning to issue a Request for Proposals (RFP) and/or Request for Information (RFI) for All-Payer Claims Database (APCD). The information in this paper was derived from the review of previously issued state RFPs and RFIs, and input collected through technical assistance, national workshops, and the Learning Network functions of the APCD Council.

Analytic Plan Guidance Document - For States Developing All-Payer Claims Database Analytic Plans

In this document we summarize the input received from the Work Group Panel at the 2012 APCD Meeting, in hopes that both newly formed APCDs and those which are in the process of forming, will benefit from the wisdom of those who have already implemented APCD analytic programs and from the NAHDO data collection on measures in use.

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Guidance Document on Creating and Releasing Hospital and Facility Discharge Data Public Use Files

Almost every state has some form of a hospital discharge data reporting system, maintained by a state or private Health Data Organization (HDO). These data systems capture all hospitalizations for every patient, regardless of insurance status or payer. As the demand for healthcare data increases, HDOs are seeking guidance on suitable standards for data release practices.

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Health Data Systems at a Crossroads: Lessons Learned From 25 Years of Hospital Discharge Data Reporting Programs

In the context of the EMR, it is important to understand how existing data systems differ from newly emerging systems, and how existing systems were able to overcome many of the challenges facing those who will be engaged in EMR aggregation efforts.

APCD Cost Study Summary of Findings

This report presents a summary of the costs to states associated with the development of All-
Payer Claims Databases (APCDs). The findings are based on information gathered from states
that have implemented APCDs, including review of state vendor contract documents and
telephone interviews with state contacts. Both current and expired contract documents were

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Latest Report from the Health Care Cost Institute

On September 25, the Health Care Cost Institute (HCCI) released its Health Care Cost and Utilization Report: 2011.  For 2011, HCCI found that spending on health care for those younger than age 65 with employer-sponsored insurance (ESI) rose 4.6 percent to $4,547 per capita.  Per capita spending growth was higher than expected when compared to 2010 (3.8%), but still slower than growth seen in 2009 (5.8%).  Despite growth in out-of-pocket expenditure, the share of total expenditure between insureds and payers remained constant.  Spending growth was fastest for out

Buried Treasure: Freeing California Data to Improve Health Care

Patients, care providers, payers, and policymakers all seek to make evidence-based, data-driven health care decisions. While various state agencies release health care claims data for research and analysis, a strong argument can be made for making valuable state health-related data available for broader use.

This issue brief from the California Health Care Foundation highlights federal and state efforts to "free the data" and outlines how California would benefit.

Among the highlights of how California can free its health care data: