This brief by the APCD Council explores all-payer claims databases (APCDs) and the steps states should take when developing such programs.
Key components of successful APCDs include:
- engaging a full range of stakeholders, including policy-makers, payers, health care providers, employers and employer coalitions, state agencies, consumers, health information exchanges, and health insurance exchanges;
- governance such as authorization, administrative rules, and oversight;
- adequate funding; and
- anticipating the technical needs for such things as data storage and numerous data sources.
The authors point out that states that have developed, or are in the process of developing, APCDs have been able to identify and address many issues in APCD development. States working collectively on common issues can better leverage solutions, and their work may ultimately lead to the development of national standards for data and measures.