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1. All-Payer Claims Databases | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/data/apcd/index.html
   February 01, 2018 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Overview of All-Payer Claims Databases All-payer claims databases (APCDs) are large State databases … that include medical claims, pharmacy claims, dental claims, and eligibility and provider files collected … in States All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan … Databases Measure Inventory for Use With All-Payer Claims Databases (Final Contract Report)  (PDF,

2. All-Payer Claims | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/topics/all-payer-claims.html
   Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Home Topics A All-Payer Claims … Databases: Data Evaluation of All-Payer Claims Databases This report provides background on APCDs … Expanding and Enhancing All Payer Claims Database System Capacity in States This report summarizes … the Fifth All Payer Claims Database Conference, Expanding and Enhancing All Payer Claims Database System

3. Reviewing the Landscape of All-Payer Claims Databases | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/data/apcd/backgroundrpt/review.html
   July 01, 2022 - Databases Introduction Reviewing the Landscape of All-Payer Claims Databases Measure Inventory … A weakness of APCDs is the lag between claims and what is currently happening in the market. … databases, or other claims databases (Medicare or Medicaid). … They create twice-yearly cost reports based on claims from four major insurers. … Lastly, several organizations contribute discrete groups of claims-based measures.

4. Developing and Assessing the Validity of Claims-based Indicators of Frailty & Functional Disabilities in Electronic Health Records | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/learning-health-systems/frailty-ehr.html
   September 01, 2022 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Multiple claims-based frailty indexes (CFIs) have been developed and validated over the past few years … ; however, healthcare providers often do not have access to the insurance claims records of their entire … This project focused on validating an established CFI using linked claims-EHR databases of multiple large … Developing and Assessing the Validity of Claims-based Indicators of Frailty & Functional Disabilities

5. Developing and Assessing the Validity of Claims-based Indicators of Frailty & Functional Disabilities in Electronic Health Records (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/learning-health-systems/frailty-ehr.pdf
   September 01, 2022 - EHRs versus Claims EHRs are inherently different from insurance claims. … , (2) in EHR only, (3) in claims only, and (4) in neither EHR nor claims. … Then, the ratio of claims vs. … o Data Notes: OLDW claims data included only Medicare Advantage (MA) and commercial claims. … of Claims vs.

6. Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/data/apcd/backgroundrpt/index.html
   April 01, 2017 - Databases Introduction Reviewing the Landscape of All-Payer Claims Databases Measure Inventory … One way to use measures this way is through all-payer claims databases (APCDs). … Contents Introduction      Overview of All-Payer Claims Databases      Uses of All-Payer Claims Databases …      Purpose of Project Reviewing the Landscape of All-Payer Claims Databases      Technical Expert … Panel      Environmental Scan Measure Inventory Data Evaluation of All-Payer Claims Databases     

7. Expanding and Enhancing All Payer Claims Database System Capacity in States | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/data/apcd/confrpt.html
   February 01, 2018 - The purpose of the Fifth All Payer Claims Database Conference, “Expanding and Enhancing All Payer Claims … The purpose of the Fifth All Payer Claims Database Conference, "Expanding and Enhancing All Payer Claims … Keywords All payer claims databases. … Since the first APCD system was established in 2003, the number of States collecting claims and other … and Institutional claims that accommodate State reporting needs.

8. All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/data/apcd/envscan/index.html
   June 01, 2017 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Us Español FAQs Home Data & Analytics All-Payer Claims … Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Health Information Knowledgebase Data Sources Available from AHRQ All-Payer Claims … Suggested citation: All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental

9. Physician and Physician Practice Research Database Physician Practice Directory Codebook (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Physician-Practice-Directory-PUF-Codebook.pdf
   March 01, 2023 - Variable Name: SING_SPEC_TYPE Input Data Sources: 3P-RD Physician file, APCD Claims, CMS Claims … Number of Claims per Month Medicaid (MCO): Average Number of Claims per Month Medicare Advantage: … Number of Claims per Month Any Payer within the APCD: Average Number of Claims per Month Medicaid … (FFS & MCO): Maximum Number of Claims per Month Medicaid (FFS): Maximum Number of Claims per Month … Medicaid (MCO): Maximum Number of Claims per Month Medicare Advantage: Maximum Number of Claims per

10. Physician and Physician Practice Research Database, Geographic Physician Practice Public Use File Codebook (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Geographic-Physician-Practice-PUF-Codebook.pdf
    February 01, 2023 - Name: AVG_PRVDR_SBMT_CLMS_MCAIDFFS Input Data Sources: APCD/CMS Claims, 3P-RD Physician … Name: AVG_PRVDR_SBMT_CLMS_MCAIDMCO Input Data Sources: APCD/CMS Claims, 3P-RD Physician … Name: AVG_PRVDR_SBMT_CLMS_CMRCL Input Data Sources: APCD/CMS Claims, 3P-RD Physician Type: … Average physician submitting Medicaid (FFS) claims Average physician submitting Medicaid (MCO) claims … Average physician submitting Medicare Advantage claims Average physician submitting Commercial claims

11. Physician and Physician Practice Research Database, Geographic Physician Public Use File Codebook (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-geographic-physician-puf-codebook.pdf
    February 01, 2023 - Number of Claims per Month Medicaid (MCO): Average Number of Claims per Month Medicare Advantage: … Number of Claims per Month Any Payer within the APCD: Average Number of Claims per Month Medicaid … (FFS & MCO): Maximum Number of Claims per Month Medicaid (FFS): Maximum Number of Claims per Month … Medicaid (MCO): Maximum Number of Claims per Month Medicare Advantage: Maximum Number of Claims per … the APCD: Minimum Number of Claims per Patients Medicaid (FFS & MCO): Maximum Number of Claims per

12. Measure Inventory for Use with All-Payer Claims Databases (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
    January 01, 2020 - APCDs are large-scale databases that systematically collect medical claims, facility claims, pharmacy … claims, dental claims (typically, but not always), and eligibility and provider files from private … The basics of all-payer claims databases: a primer for states. … The value of all-payer claims databases to states. … All-payer claims databases: an overview for policymakers.

13. 3P-Rd-Data-Dictionary-Geographic-Level (xls file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Data-Dictionary-Geographic-Level.xlsx
    February 02, 2023 - State APCD/CMS Claims ZIP_CD X X X X X X X X X X X X X X X STATE 2-Digit alpha state code Char $2. … physicians Char 2 XXXXX: Minimum Patient Age APCD/CMS Claims XXXXX_MIN_AGE X X B, F, G A, G A, G … per Month APCD/CMS Claims XXXXX_MIN_CLMS_PERMONTH X X B, F, G A, G A, G B, C, D, E, F, G A, G A, G … per month across all 3P-RD physicians Num 8 XXXXX: Average Number of Claims per Month APCD/CMS Claims … per month across all 3P-RD physicians Num 8 XXXXX: Maximum Number of Claims per Month APCD/CMS Claims

14. About the Measure | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/about.html
    July 01, 2021 - It also required the development of a valid claims-based case definition. … This definition ensured the feasibility of using only administrative claims for this measure. … A lag in claims availability at the state level may create a delay in use of Medicaid claims. … The detailed measure specification may be used on administrative claims in any context. … The lag in claims availability at the state level creates a delay in use of Medicaid claims.

15. 3P_RD_AHRQ_PUF_Data_Dictionary (xls file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Data-Dictionary.xlsx
    March 16, 2023 - SECTION IV: Source Claims Files Indicates data element names and availability in claims files for APCD … Organizational NPI APCD/ CMS Claims X X X X X X ORG_NPI Organizational NPI CHAR 10 $10. … Number of 3P-RD physicians associated with the physician practice site X APCD/ CMS Claims X X X X X … X 3P-RD Physician APCD/ CMS Claims X X X X X X SING_SPEC_TYPE If Single Specialty, Which? … State X APCD/ CMS Claims X X X X X X STATE State CHAR 7 $2.

16. Executive Summary | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/data/apcd/envscan/summary.html
    June 01, 2017 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … These key characteristics of APCD data enable measurement not possible with hospital discharge claims … databases (MPCDs), or other claims databases (Medicare or Medicaid). … They create twice-yearly cost reports based on claims from four major insurers. … Lastly, several organizations are contributing discrete groups of claims-based measures, such as NCQA

17. Appendix C. Environmental Scan Resources Included | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/data/apcd/envscan/app-c.html
    November 01, 2020 - Massachusetts all-payer claims database. Overview. … Overview of the Massachusetts all-payer claims database. … Hawaii all-payer claims database request for information. … Massachusetts all payer claims database (APCD). … All Payer Claims Database Group. http://www.linkedin.com/groups/All-Payer-Claims-Database-Group-3362505

18. Synthetic Healthcare Database for Research (SyH-DR) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/data/innovations/syh-dr.html
    April 01, 2024 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Determinants of Health Synthetic Healthcare Database for Research (SyH-DR) All-Payer Claims … The Synthetic Healthcare Database for Research (SyH-DR) is an all-payer, nationally representative claims … SyH-DR The Agency for Healthcare Research and Quality (AHRQ) created SyH-DR from eligibility and claims … Claims Files Commercial Inpatient File. Commercial Outpatient File.

19. AHRQ Physician and Physician Practice Research Database Methodology Report (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Methodology-Report.pdf
    February 01, 2023 - Patient panel • Patient characteristics of those with submitted claims. Table 3.3. … Patient panel • Patient characteristics of those with submitted claims. … Regardless of the claims data source, merging between the Core physician file and the claims data was … ID (a unique number for each payor submitting claims to AR APCD) in the processing. … An initial assessment of the presence of spillover claims identified no spillover claims with a start

20. AHRQ Physician and Physician Practice Research Database (3P-RD) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/AHRQ-Physician-and-Physician-Practice-Research-Database-3P-RD-FINAL.pdf
    February 08, 2023 - Databases (APCD and other claims sources) ► State Medical Boards (SMB) • Nine (9) other data sources … 13 3P-RD States ► Name, date, and full address clean-up • Develop Physician characteristics from claims … NPI-Servicing Zip Code ► Not all APCD had TIN • Develop Physician Practice characteristics from claims … Variables • All variables standardized across all states regardless of claims data source • All … per month (total and by payor) • Patients per month (total and by payor) • Claims per patient per