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All-Payer Claims Database: A Platform for Transparency and Innovation

About this paper

The unprecedented rise of health care costs makes price transparency critical to health care reform. So that states can identify and understand variation in payment and quality across plans and providers, all-payer claims databases (APCDs) are being created that provide further benefits for health care decision makers. When data is used for decision making we see cost containment and quality improvement efforts come to fruition. This paper looks at where transparency will lead us; what an APCD looks like with its many uses; how big analytics is made possible through the database; and best practices in advocating and implementing an APCD.

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