State all-payer claims databases: tools for improving health care value. Part 2, The uses and benefits of APCDs
- Collection:
- Health Policy and Services Research
- Author(s):
- McCarthy, Douglas, author
- Contributor(s):
- Commonwealth Fund, issuing body.
- Publication:
- [New York, New York] : The Commonwealth Fund, December 2020
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Databases as Topic Insurance, Health, Reimbursement State Government Value-Based Purchasing United States
- Genre(s):
- Technical Report
- Abstract:
- ISSUE. Many states and stakeholders are seeking to control the rising cost of health care and increase its value. All-payer claims databases (APCDs) facilitate such efforts by aggregating data on health care services paid for by health insurers and public programs, thereby offering a broad perspective on cost, utilization, and quality of care. GOALS. Describe the uses and benefits of state-level APCDs as well as challenges to realizing their value, including data limitations and antitrust concerns. METHODS. Interviews with staff and stakeholders of eight diverse state-level APCDs, supplemented by a review of documentary evidence. KEY FINDINGS AND CONCLUSIONS. APCDs are used to: (1) report on health system spending, utilization, and performance; (2) enhance state policy and regulatory analysis; (3) inform the public about health care prices and quality; (4) enable value-based purchasing and health care improvement; (5) support public health monitoring and improvement; and 6) provide reliable data for health care research and evaluation. The benefits of state APCDs include raising awareness of the need for change; fueling data-informed policymaking; and generating knowledge for improvement. Fulfilling the purposes of an APCD requires cultivating relationships with stakeholders and learning how to effectively use data to meet their needs.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (21 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101774903 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101774903