Tools for Improving Health Care Value Part 1: How States Establish an APCD and Make it Functional

Date: August 3 2021

Summary: A summary paper detailing how to establish an All-Payers Claim Database with recommendations

Keywords: #apcd #commonwealth #fund #transparency #recommendations #archive

Bibliography

The Commonwealth Fund. 2020. State All-Payer Claims Databases: Tools for Improving Health Care Value, Part 1 — How States Establish an APCD and Make It Functional.

Table of Contents

Summary

This was a summary paper detailing how to establish an All-Payers Claim Database with recommendations from 8 states across the US with All-Payer Claims Databases. It was a high value paper! Lots of great insights in this document with good summary insights from across the states interviewed which were:

• Arkansas

• Colorado

• Maine

• Minnesota

• New Hampshire

• Utah

• Virginia

• Wisconsin

However, the general insights were rather vague about what states actually did with their APCD. This paper gains even more benefit when read in conjunction with Part 2 of this series.

Intended Uses of All-Payers Claim Databases

Information transparency is disclosing and highlighting variation in:

• utilization

• cost

• service quality

Enables employers to choose value-based care. Consumers will know what options they have.

Recommendations for States in Creating All-Payers Claim Databases

• General Recommendations

• Virginia All-Payers Claim Database

Potential Ways an All-Payers Claim Database Can Be Used

An All-Payers Claim Database can be used as a state oversight tool for:

1. Insurance markets

2. Public coverage programs

3. Public health.

It can also be used as a research tool for health care research and system improvement

How To Cite

Zelko, Jacob. Tools for Improving Health Care Value Part 1: How States Establish an APCD and Make it Functional. https://jacobzelko.com/08032021205910-establish-apcd. August 3 2021.

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Discussion: