With escalating health care costs, the enactment of the Patient Protection and Affordable Care Act (PPACA), and declining state revenues, states are facing pressure to reduce health care costs and address increasing provision of health insurance coverage to the uninsured. States are seeking innovative solutions to improve the performance of their health care delivery system. These solutions include enacting policies to promote delivery and payment reforms, and facilitating cost and quality transparency. These types of interventions require timely and reliable state-level data and information about a state’s delivery system, including provider and payer-level costs, population health indicators, and variation in health care utilization and outcome measures.