All-Payer Claims

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.

This AHRQ project was undertaken to advance the use of APCD data for transparency efforts within and among States. For States to use their APCD data to compare price and performance of providers within their States and across States, measures for use with these data need to be developed and refined, and the data need to be standardized.

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Reports

Measure Inventory

This inventory of APCD-based measures is an Excel file, and each field (e.g., measure type, age group) can be sorted. Some of the inventory fields include Condition of Focus (e.g., back pain, diabetes); Measure Condition Subcategory (e.g., tests, medications); Measure Type (cost, quality, or utilization), among many others.