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SHADAC in JHPPL: The Future of State All-Payer Claims Databases

January 24, 2023:

This journal article was originally published in Volume 48, Issue 1 of the Journal of Health Politics, Policy and Law (JHPPL).  

Authors: Lynn A. Blewett, PhD, MPA, Natalie Schwehr Mac Arthur, PhD, MAc, and James Campbell


SHADAC researchers recently published an article in the Journal of Health Politics, Policy and Law on states’ development and use of state-based all-payer claims databases (APCDs). 

Abstract
State policymakers are under increasing pressure to address the prohibitive cost of health care given the lack of action at the federal level. In 2020, the United States spent more on health care than any other country in the world—$4.1 trillion, representing 19.7% of the nation's gross domestic product. States are trying to better understand their role in health care spending and to think creatively about strategies for addressing health care cost growth. One way they are doing this is through the development and use of state-based all-payer claims databases (APCDs). APCDs are health data organizations that hold transactional information from public (Medicare and Medicaid) and private health insurers (commercial plans and some self-insured employers). APCDs transform this data into useful information on health care costs and trends. This article describes states' use of APCDs and recent efforts that have provided benefits and challenges for states interested in this unique opportunity to inform health policy. Although challenges exist, there is new funding for state APCD improvements in the No Surprises Act, and potential new federal interest will help states enhance their APCD capacity so they can better understand their markets, educate consumers, and create actionable market information.

Read the full research article in Volume 48, Issue 1 of the Journal of Health Politics, Policy and Law.

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Health Care Cost and Affordability Health Reform Strategies State and Federal Health Policy
Robert Wood Johnson Foundation
University of Minnesota
The State Health Access Data Assistance Center (SHADAC) is a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota.
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