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1. All-Payer Claims Databases | Agency for Healthcare Research and Quality
   www.cpsi.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. Reviewing the Landscape of All-Payer Claims Databases | Agency for Healthcare Research and Quality
   www.cpsi.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.

3. Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases | Agency for Healthcare Research and Quality
   www.cpsi.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     

4. Expanding and Enhancing All Payer Claims Database System Capacity in States | Agency for Healthcare Research and Quality
   www.cpsi.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.

5. Data Evaluation of All-Payer Claims Databases | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/data/apcd/backgroundrpt/data.html
   April 01, 2017 - Further, the issue of duplicate claims likely far outweighs the claims lost. Table 3. … (typically, 30% of claims are not inpatient). … claims contain fewer diagnosis codes. … file Deductible amount 100% In claims file Amount prepaid 100% In claims file Amount paid … 100% In claims file Coinsurance 100% In claims file Allowed amount 100% Key variable

6. 3P-Rd-Data-Dictionary-Geographic-Level (xls file)
   www.cpsi.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

7. 3P_RD_AHRQ_PUF_Data_Dictionary (xls file)
   www.cpsi.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.

8. References | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/data/apcd/backgroundrpt/references.html
   April 01, 2017 - The basics of all-payer claims databases: a primer for states . … All-payer claims databases: an overview for policymakers . … Validity of electronic prescription claims records: a comparison of commercial insurance claims with … Making use of all-payer claims databases for health care reform evaluation . … All payer claims databases: unlocking the potential . NEHI Issue Brief.

9. Synthetic Healthcare Database for Research (SyH-DR) | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/data/innovations/syh-dr.html
   January 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.

10. Appendix B: Prioritization of Conditions for Measure Inventory | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/data/apcd/backgroundrpt/app-b.html
    November 01, 2020 - 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 … Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims … Databases Introduction Reviewing the Landscape of All-Payer Claims Databases Measure Inventory

11. United States Health Information Knowledgebase | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/data/ushik.html
    July 01, 2022 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … The All-Payer Claims Databases portal contained APCD File Submission Specifications from 14 states. … APCDs are large-scale databases that systematically collect healthcare claims data from a variety of … , pharmacy claims, eligibility files, provider (physician and facility) files, and dental claims from … leveraging data from within the insurance claims and reimbursement system.

12. Discussion | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/data/apcd/backgroundrpt/discuss.html
    April 01, 2017 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Databases Introduction Reviewing the Landscape of All-Payer Claims Databases Measure Inventory … Although claims data have been tagged a source of health care price transparency, when cost data are … Although APCDs do include a large number of health care claims, some populations are omitted. 2 , 8 , … The meeting had the following priorities: Engage stakeholders on key issues related to claims-based

13. Conclusion and Future Directions | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/data/apcd/backgroundrpt/conclusion.html
    April 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 … Databases Introduction Reviewing the Landscape of All-Payer Claims Databases Measure Inventory … This will require building a dataset by removing potential duplicates or claims that have been replaced

14. Appendix A: Technical Expert Panel and Learning Network Members | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/data/apcd/backgroundrpt/app-a.html
    April 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 … Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims … Databases Introduction Reviewing the Landscape of All-Payer Claims Databases Measure Inventory

15. Introduction | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/data/apcd/backgroundrpt/intro.html
    April 01, 2017 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Us Español FAQs Home Data & Analytics All-Payer Claims … Databases Introduction Reviewing the Landscape of All-Payer Claims Databases Measure Inventory … All-payer claims databases (APCDs) incorporate utilization and cost across the health care system and … APCDs are large datasets that aggregate medical, facility, pharmacy, and sometimes dental claims, as

16. Exhibit 7.4. Core measures for asthma, diabetes, and congestive heart failure | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh7-4.html
    October 01, 2014 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Percentage of members who followed up with a physician after an ER visit or hospital admission Claims … (AQA and HEDIS Measure) Percentage of members with diabetes with most recent LDL-C <130 mg/dl Claims … ) Percentage of members who received at least one LDL-C screening during the measurement year Claims … <130mg/dl)(AQA Measure) Percentage of members with diabetes with most recent LDL-C <130 mg/dl Claims

17. Measure Inventory | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/data/apcd/backgroundrpt/measure.html
    April 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 … Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims … Databases Introduction Reviewing the Landscape of All-Payer Claims Databases Measure Inventory

18. Exploring Learning Health Systems’ Needs | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/learning-health-systems/exploring-needs.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

19. Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/publications/search.html?page=5
    July 01, 2017 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Publication Date: July 2017 Publication Number: 17-M018-1-EF All-Payer Claims … large-scale databases that systematically collect professional, facility, pharmacy, laboratory, and dental claims … Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims … Databases AHRQ funded the All-Payer Claims Databases (APCDs) project to learn more about how APCDs

20. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-p-transcript.docx
    April 13, 2017 - We'll talk at the end a little bit about tips that we can use to evaluate these manufacturer claims that … are presented to you and how we can objectively use the claims that the manufacturers are making in … Those are additional claims that manufacturers can make that limit the intended scope of their product … , where they intend it to be used.2 (Slide 9) When we're looking at these manufacturer claims, … We also might be thinking about the manufacturer claims related to the particular product as it relates