Allpayer Healthcare Claims Database

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Clinically Enhanced Data Integrated Datasets for RWE

(1 days ago) People also askDo all-payer claims databases increase health care value?Issue: All-payer claims databases (APCDs) can facilitate state efforts to control the rising cost of health care and increase its value. By aggregating data on the health care services that health insurers and public programs pay for, they offer a broader perspective on cost, service utilization, and quality than any single entity can provide.State All-Payer Claims Databases: Tools for Improving Health Care Value commonwealthfund.orgWhat are all-payer claims databases (APCDs)?All-payer claims databases (APCDs) are large State databases that include medical claims, pharmacy claims, dental claims, and eligibility and provider files collected from private and public payers. i APCD data are reported directly by insurers to States, usually as part of a State mandate.All-Payer Claims Databases - Agency for Healthcare Research and Quality ahrq.govAre all-payer claims databases effective?All-payer claims databases have the potential to help inform significant changes that will benefit consumers, however inadequate funding, overly restrictive data release policies and other issues related to the ability to collect data have restricted APCDs from reaching their full potential as policy making tools.All-Payer Claims Databases: Unlocking Data to Improve Healthcare Value healthcarevaluehub.orgWhat is a multi-payer claims database?Some writers use the term Multi-Payer Claims Database to reflect the fact that a database may not include all payers. We use the term All-Payer Claims Database to reflect common usage and the aspiration of these tools. 4.State All-Payer Claims Databases: Tools for Improving Health Care Value commonwealthfund.orgFeedbackAgency for Healthcare Research and Qualityhttps://www.ahrq.gov/data/apcd/index.htmlAll-Payer Claims Databases Agency for Healthcare Research and …WebAll-payer claims databases (APCDs) are large State databases that include medical claims, pharmacy claims, dental claims, and eligibility and provider files collected from …

https://www.bing.com/aclk?ld=e8BHvL1rkWGcuxGoylnjjWVDVUCUxezwNHbrUtvxIWdcgyYSvCNmnguiV7XSBuxIKa_WsLlDhpgrphWF7Mn6XlwVa97sfxxfwhSVsMRY9lco4HPv3-ZBmC8vdEAnJKQZphIWHShv47ANpK01vWm-fNDAHz5cmd87Ob4NhUJEaCSZ1_SltrwEc68-tHAH6f0_B4JRvveA&u=aHR0cHMlM2ElMmYlMmZ3d3cua29tb2RvaGVhbHRoLmNvbSUyZnRlY2hub2xvZ3klMmZtYXBlbmhhbmNlJTNmdXRtX3Rlcm0lM2RoZWFsdGhjYXJlJTI1MjBjbGFpbXMlMjUyMGRhdGFiYXNlJTI2dXRtX2NhbXBhaWduJTNkU29sdXRpb25zJTI2dXRtX3NvdXJjZSUzZGJpbmclMjZ1dG1fbWVkaXVtJTNkcHBjJTI2aHNhX2FjYyUzZDY1OTU5NTYwODglMjZoc2FfY2FtJTNkMjEwNzk3MDk1MDUlMjZoc2FfZ3JwJTNkMTE4MzA3NjI2Mjc0MjI1MCUyNmhzYV9hZCUzZCUyNmhzYV9zcmMlM2RvJTI2aHNhX3RndCUzZGt3ZC03Mzk0MjU1MzQ2MTI2OCUzYWxvYy0xOTAlMjZoc2Ffa3clM2RoZWFsdGhjYXJlJTI1MjBjbGFpbXMlMjUyMGRhdGFiYXNlJTI2aHNhX210JTNkcCUyNmhzYV9uZXQlM2RhZHdvcmRzJTI2aHNhX3ZlciUzZDMlMjZtc2Nsa2lkJTNkMDU5NDc2OWJkYTFkMTk4YWJhOTgxMGQyYmE3MDZiNzclMjZ1dG1fY29udGVudCUzZE1hcEVuaGFuY2U&rlid=0594769bda1d198aba9810d2ba706b77

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State All-Payer Claims Databases: Tools for Improving Health Care …

(2 days ago) WebBy aggregating data on patient services that insurers and public programs pay for, all-payer claims databases can aid states’ efforts to control rising costs and …

https://www.commonwealthfund.org/publications/fund-reports/2020/dec/state-apcds-part-1-establish-make-functional

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All-Payer Claims Agency for Healthcare Research and Quality

(9 days ago) WebAll-Payer Claims. AHRQ activities focus on developing an effective, feasible approach for using all-payer claims databases to improve healthcare affordability, efficiency, and …

https://www.ahrq.gov/topics/all-payer-claims.html

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Introduction Agency for Healthcare Research and Quality

(5 days ago) WebAll-payer claims databases (APCDs) incorporate utilization and cost across the health care system and may fill critical data needs for State agencies and other stakeholders. The …

https://www.ahrq.gov/data/apcd/backgroundrpt/intro.html

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APCD Council University of New Hampshire

(8 days ago) WebAPCD programs and submitters are invited to share feedback on proposed non-claim-based payment file layouts and introductory language ("front matter") during a meeting on …

https://www.apcdcouncil.org/

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The what, who, why, and how of all-payer claims Database

(3 days ago) WebThe Utah All-Payer Claims Database was legislatively mandated and established in 2009. The database includes medical claims, eligibility, and pharmacy data from commercial …

https://www.healthvermont.gov/sites/default/files/documents/2016/12/The%20What%2C%20Who%2C%20Why%2C%20and%20How%20of%20All-Payer%20Claims%20Databases.pdf

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Health Care Payments Data (HPD) - HCAI

(3 days ago) WebThe Health Care Payments Database (HPD) is California’s All Payer Claims Database or APCD. The HPD is a research database comprised of healthcare …

https://hcai.ca.gov/data/cost-transparency/healthcare-payments/

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All-Payer Claims Databases — Uses and Expanded …

(Just Now) WebIdentifying and delineating the type 2 diabetes population in the Netherlands using an all-payer claims database: characteristics, healthcare utilisation and expenditures, BMJ Open, 11, 12

https://www.nejm.org/doi/full/10.1056/NEJMp1613276

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Common Data Layout APCD Council

(6 days ago) WebThe purpose of the All-Payer Claims Database Common Data Layout (APCD-CDL™) is to harmonize the claims collection effort across states and reduce the burden of data …

https://www.apcdcouncil.org/common-data-layout

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All-Payer Claims Database

(5 days ago) WebThe Georgia All-Payer Claims Database (APCD) is a collection of healthcare claims data for both public and private insurance plans in Georgia. The goal f

https://apcd.georgia.gov/

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Washington State All Payer Claims Database (WA-APCD)

(Just Now) WebThe WA-APCD began in 2014 when the Washington State Legislature passed landmark legislation that directed the Office of Financial Management (OFM) to establish and …

https://www.hca.wa.gov/about-hca/data-and-reports/washington-state-all-payer-claims-database-wa-apcd

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Massachusetts All-Payer Claims Database

(3 days ago) WebMA APCD Calendar Year 2022(2018-2022 data with six-month run out from 2023) The Massachusetts All-Payer Claims Database (MA APCD) is the most comprehensive …

https://www.chiamass.gov/ma-apcd/

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Understanding All-Payer Claims Databases, APCD - Foundation for …

(4 days ago) WebUnderstanding All-Payer Claims Databases: Unlocking Insights into Health Care. Jun 8. Kentucky is not known for being one of the country’s healthier states. When …

https://healthy-ky.org/news-releases/understanding-all-payers-claims-databases-unlocking-insights-into-health-care

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Texas All-Payor Claims Database - Center for Health Care Data

(7 days ago) WebIn September 2021, House Bill (HB) 2090, a health cost transparency law passed in the 87th Legislative session, established the Texas All-Payor Claims Database (TX-APCD) …

https://sph.uth.edu/research/centers/center-for-health-care-data/texas-all-payor-claims-database/

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Statewide All-Payer Health Care Claims Database Report

(2 days ago) WebThe database includes medical, pharmacy and dental services claims, as well as eligibility and health provider data, submitted by private and public health care payers in the …

https://ofm.wa.gov/sites/default/files/public/publications/OFM%20Statewide%20All-Payer%20Health%20Care%20Claims%20Database%20Report%202021.pdf

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A Plan for New Mexico’s All-Payer Claims DataBase (APCD)

(4 days ago) WebA Plan for New Mexico’s All-Payer Claims Database (APCD), March 2016. 17 2. The existing Medicaid Management Information System (MMIS) will be replaced by 2020. In …

https://www.nmhealth.org/document/plan/SIM-AllPayerClaimsDatabase-Plan.pdf

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Cost Growth Benchmark Initiative 2021-2022 Performance A …

(5 days ago) Webthe costliest drugs used by Connecticut residents, using data from the state’s All-Payer Claims Database (APCD). Section 1: 2021-2022 Growth in Healthcare Spending …

https://portal.ct.gov/-/media/ohs/cost-growth-benchmark/reports-and-updates/cost-growth-benchmark-report-py2022.pdf

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STATE OF INDIANA - IN.gov

(4 days ago) Web50-2020 and Public Law 190-2023, which established and amended the All Payer Claims Database (APCD), respectively. The IDOI is authorized to do so under …

https://www.in.gov/idoi/files/20240515-Rulemaking-Docket-PDF.pdf

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Supreme Court in Gobeille v. Liberty Mut. Ins. Co

(3 days ago) WebGobeille v. Liberty Mut. Ins. Co., 577 U.S. 312 (2016). That key decision involved a nearly identical Vermont law that also required self-insured ERISA plans …

https://www.eric.org/wp-content/uploads/2024/05/ERIC-Public-Comment-Letter-LSA-Document-24-151-All-Payer-Claims-Data-Base-5.10.24.pdf

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Measuring Primary Healthcare Spending Effective Health Care …

(4 days ago) WebThe purpose of this Technical Brief is to build on these prior efforts and expand the included information, particularly as the number of State Governments producing estimates of …

https://effectivehealthcare.ahrq.gov/products/primary-healthcare-spending/tech-brief

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All Payer Claims Database Data Release Committee - CT.gov

(8 days ago) WebAll Payer Claims Database Data Release Committee May 14, 2024 Regular Meeting . Record of Votes . Voting Members Present: Dr. Patricia Checko* …

https://portal.ct.gov/-/media/ohs/health-it-advisory-council/apcd-advisory-group/apcd-data-release-committee/2024-drc-meetings/5-14-24/ohs_record-of-votes_apcd-drc_05-14-2024.pdf

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All-Payer Claims Database Measure Inventory Agency for …

(2 days ago) WebAll-Payer Claims Database Measure Inventory. The Agency for Healthcare Research and Quality is undertaking activities to develop an effective and feasible approach for using …

https://www.ahrq.gov/data/apcd/measureinventory.html

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Clarify Health's Award-Winning Payer Solutions Revolutionizing

(8 days ago) WebClarify Health's access to extensive claims data offers boundless possibilities for insights, patient care, and market understanding. In this episode, Dr. Neechi Mosha, the Senior …

https://podcasts.apple.com/us/podcast/clarify-healths-award-winning-payer-solutions-revolutionizing/id1246067757?i=1000655400861

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Measuring Primary Care Spending in the US by State Health …

(Just Now) WebNine states reported estimates of primary care spending as a percentage of total health care spending ().Maine, Utah, Virginia, and Washington used different narrow …

https://jamanetwork.com/journals/jama-health-forum/fullarticle/2818721

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Health Insurance Portability and Accountability Act of 1996 (HIPAA)

(9 days ago) WebException: A group health plan with fewer than 50 participants that is administered solely by the employer that established and maintains the plan is not a …

https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html

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About the Data: Medicare Vision and Eye Health Surveillance …

(5 days ago) WebMedicare FFS is a complete population of Medicare FFS beneficiaries, including all FFS beneficiaries younger than 65 and those 65 and older. For those 65 and older, the data …

https://www.cdc.gov/vision-health-data/data-sources/medicare.html

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Vermont Health Care Reform Work Group: Primary Care …

(5 days ago) WebVermont is experienced in measuring and reporting on statewide accountability targets under the VTAPM. The GMCB has measured Medicare and all …

https://humanservices.vermont.gov/sites/ahsnew/files/documents/Primary%20Care%20Workgroup%20%239%20Slides_4.10.24_Summary.pdf

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Clover Quick Reference Guide

(4 days ago) WebChange Healthcare: Payer ID#: 77023 via mail: Clover Health P.O. Box 3236 Scranton, PA 18505 To find an in-network provider Provider Directory To view pre-authorization criteria …

https://www.cloverhealth.com/filer/file/1453950875/82/

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WebAddress for Paper Claims and other billing forms Horizon NJ Health Claims Processing Department PO Box 24078, Newark, NJ 07101 Horizon NJ Health does not accept …

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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State of Rhode Island Office of the Health Insurance …

(4 days ago) Webdata taken from the All-Payer Claims Database and academic literature. These findings were taken over a thirty-year time horizon focusing on wage growth, wage stagnation, …

https://ohic.ri.gov/sites/g/files/xkgbur736/files/2024-05/April%20HIAC%20Meeting%20Minutes.pdf

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Data Evaluation of All-Payer Claims Databases Agency for …

(4 days ago) WebAPCDs are typically organized into eligibility, claim, and provider files. However, data elements across these files are important to construct health care measures of …

https://www.ahrq.gov/data/apcd/backgroundrpt/data.html

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Payer ID Payer Name Comments - ABILITY Network

(2 days ago) Web13424 Claims Management Service Inc. 13625 Clear Health Alliance 13416 Clover Health fka: CarePoint Medicare Advantage 13425 CMFG Life Insurance 10148 …

https://www.abilitynetwork.com/wp-content/uploads/2019/11/November_EligibilityPayer_List.pdf

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Drug overdose deaths dropped slightly in 2023 but remain high

(4 days ago) WebUpdated Wednesday May 15 at 1:25 p.m. ET. Preliminary data released Wednesday from the Centers for Disease Control and Prevention found fatal drug …

https://www.npr.org/sections/health-shots/2024/05/15/1251239829/us-drug-overdose-deaths-provisional-2023

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Medicaid Program; Medicaid and Children's Health Insurance …

(1 days ago) WebStrategies to enhance access to health care services should reflect how people move through and interact with the health care system. We view the continuum …

https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance

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Ascension hit with lawsuits days after ransomware attack

(4 days ago) WebAscension is staring down two proposed class-action lawsuits just one week after a cyberattack took systems offline across its 140-hospital portfolio, forcing the …

https://www.healthcaredive.com/news/ascension-lawsuits-ransomware-attack-cybersecurity/716248/

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