Connecticut
Category
Title or Name of APCD System
  • Connecticut All Payer Claims Database
Who Maintains the System
  • CT Office of Health Strategy
Website
Legal Authority
Statute
Statute Effective Date
Data Submission Guide
Data Request Process
First Year APCD Collected Data
  • 2012
APCD Snapshot
  • Created in 2012 by Public Act 12-166, Connecticut’s All Payer Claims Database (APCD) was established as a program to receive, store, and analyze health insurance claims data. The Act requires health insurers of health care services to submit medical and pharmacy claims data, as well as information on providers and eligibility. Information derived from this data seeks to improve the health of Connecticut’s residents through the collection and analysis of data and the promotion of research addressing safety, quality, transparency, access, and efficiency at all levels of health care delivery.

    With the passage of Public Act 13-247, the Connecticut General Assembly authorized Access Health CT (Connecticut’s health insurance exchange) to “(A) Oversee the planning, implementation and administration of the all-payer claims database program for the purpose of collecting, assessing and reporting health care information relating to safety, quality, cost-effectiveness, access and efficiency for all levels of health care; (B) ensure that data received from reporting entities is securely collected, compiled and stored in accordance with state and federal law; and (C) conduct audits of data submitted by reporting entities in order to verify its accuracy.”

    PA 13-247 further directs Access Health CT to “(A) Utilize data in the all-payer claims database to provide health care consumers in the state with information concerning the cost and quality of health care services that allows such consumers to make economically sound and medically appropriate health care decisions; and (B) make data in the all-payer claims database available to any state agency, insurer, employer, health care provider, consumer of health care services or researcher for the purpose of allowing such person or entity to review such data as it relates to health care utilization, costs or quality of health care services. Such disclosure shall be made in accordance with subdivision (2) of subsection (b) of section 38a-1090 of the general statutes, as amended by this act. The exchange may set a fee to be charged to each person or entity requesting access to data stored in the all-payer claims database.”

    The CT APCD moved to the CT Office of Health Strategy in 2018.
Number of Commercial Sources of Claims Data
  • 10
Sources and Status of APCD Data Collection
Payers
Commercial Payers
  • Currently Collected
Medicaid
  • Currently Collected
Medicare
  • Currently Collected
Types of Data Collected 
Medical Claims
  • Currently Collected
Eligibility
  • Currently Collected
Dental
  • Currently Collected
Pharmacy
  • Currently Collected
Consumer Website
State Specific Resources
Contact Information

Use Cases from the APCD Showcase

Displaying 1 - 5 of 6

Use Cases Category Carriers
Curbing the Growing Fragmentation of Veterans’ Health Care
This study quantifies a major shift in locus of VA critical care, a likely outcome of expanded non-VA health insurance coverage that was previously called out, but the study was not designed to address the many issues raised by outsourcing so much ICU care, including questions about the coordination and continuity of post-ICU care for these patients with high-acuity conditions. The study adds to concerns about VA’s ability to oversee the quality of community care and gaps in the integration of VA-delivered and VA-purchased care.
 Consumers, Health Reform, Medicaid, Population Health, Providers Medicaid
State Efforts To Monitor Outpatient Facility Fees
Colorado, Maine, Connecticut, and Washington—have collected and analyzed data on outpatient facility fee billing within their borders. This growing interest reflects several converging trends. Hospital outpatient utilization has increased substantially over the past few decades, and care delivered in HOPDs has generally become more expensive compared to similar care provided in non-hospital settings.
Consumers, Providers, Researchers Commercial
In Three States, Growth In Prescription Drug Spending Is Unaffordable Even When Accounting For Rebates
Over the past five years, several states have implemented statewide cost growth targets to increase transparency and accountability around the drivers of health care spending growth. Many of these states have highlighted spending on prescription drugs as a leading contributor to high and rising health care spending in the commercial market
 Consumers, Insurance Department, Researchers Commercial
Analyze Health CT Website
This website allows Connecticut residents access to healthcare information derived from historic claims data. Reports published by Analyze Health CT better inform consumers about their local healthcare market's quality, cost, and accessibility.
 Consumers, Health Reform, Researchers Commercial, Medicaid, Medicare
The New England States’ All-Payer Report on Primary Care Payments
The purpose of this report is to use standardized data to identify the percentage of all-payer primary care spending relative to overall healthcare spending in each state and to provide a framework to evaluate whether the states’ investments in primary care reflect the importance and value of primary care in each state.
 Consumers, Health Reform, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid, Medicare