Is Now the Time to Take All-Payer Claims Databases National? Some Policy Experts Say Yes

January 6

For years, all-payer claims databases (APCDs) have been popping up around the country, collecting claims and encounter data in order to help payers, providers, policymakers and others better understand and improve local health care markets. Currently, 18 states have an APCD and at least six are developing one, according to Manatt Health. But in a new report and during a recent virtual summit, the firm argues that the current patchwork of state APCDs isn’t up to the task of providing comprehensive, streamlined data that can help solve the pressing affordability, quality, equity and access issues facing the American health care system.

Instead, after engaging “more than 40 federal and state policymakers, regulators, researchers, and other health data leaders,” the Manatt report recommends building on the existing state-based APCD structure by creating a Federally Facilitated State Data Partnership model.

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Health Plan Weekly

Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.