Date: January 1 2021
Summary: An overview on what all payer claims databases are
Keywords: ##zettel #apcd #claims #database #archive
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The goal of APCDs is to improve affordability of healthcare, its efficiency, and cost transparency. [1]
All-payer claims databases: State databases which contain the following information on private and public payers:
Medical claims
Pharmacy claims
Dental claims
Eligibility and provider files
Insurers are usually mandated by the state to provide APCD data to States.
APCDs contain private insurance. This is not common for other datasets.
APCDs contain data from most or all insurance companies in a State. Other datasets do not have them.
APCDs include info on care for patients across care sites rather than only from discharge data systems. APCDs include large sample sizes, geographic representation, and capture of longitudinal information on a wide range of individual patients.
Zelko, Jacob. All-Payer Claims Database. https://jacobzelko.com/01022021031334-all-payer-claims. January 1 2021.
[1] Agency for Healthcare Research and Quality, “All-Payer Claims Databases,” Feb. 2018. https://www.ahrq.gov/data/apcd/index.html