New York

Title or Name of APCD System: 
New York All Payer Database
Category: 
Existing
Who Maintains the System: 
New York State Department of Health
Website: 
https://nyshc.health.ny.gov

Legal Authority

Statute: 
https://regs.health.ny.gov/content/section-40018-statewide-planning-and-research…
Submission Rules: 
https://regs.health.ny.gov/volume-c-title-10/250265841/part-350-all-payer-databa…
Release Policy: 
https://nyshc.health.ny.gov/web/nyapd/apd-regulations-guidance-manuals
First Year APCD Collected Data: 
2014
Number of Commercial Sources of Claims Data: 
27
Covered Lives: 
Over 25,000,000 unique member experiences
Related APCD Activity: 

New York State enacted legislation in the spring of 2011 that allowed for the creation of an All Payer Database (APD). The All Payer Database (APD) program will provide policymakers, researchers, and consumers with a comprehensive, health-focused, data warehousing and analytic solution for New York State. Enabling research, transparency, and improved decision making, the APD program supports the Department of Health’s (DOH) mission of protecting the health, productivity and well-being of all New Yorkers by promoting public health and patient safety, by reducing health disparities, and by assuring access to affordable, high quality health services.

Through a Master Patient Index, Master Provider Index, and a suite of data enrichment tools, the APD warehouse and analytic solution will be able to consolidate previously siloed data sources and fill gaps in the types of information available to support DOH’s mission.

Sources and Status of APCD Data Collection

Payers Currently Collected Planned Collection
Commercial Payers--Yes
MedicaidYes--
MedicareYes--
OtherQualified Health Plan and Essential Plan/Basic Health Plan data are currently collected. Third Party Administrator/Self-Funded data will be collected on a voluntary basis pursuant to the Supreme Court’s ruling in Gobeille V. Liberty Mutual.
Types of Data Collected Currently Collected Planned Collection
Medical ClaimsYes--
EligibilityYes--
DentalYes--
PharmacyYes--
Primary Users/Uses: 
State Policy Makers/ Public Health Officials, Health Plans, Employers, Providers, Researchers, Consumers
Future Plans: 
Optum Government Solutions, Inc. was selected as the vendor through a competitive procurement - currently working on implementation. Additional data sources will be incorporated over time.
Consumer Website: 
https://nyshc.health.ny.gov
State Specific Resources: 

See NYS Health Connector Website: https://nyshc.health.ny.gov

 

Contact Information: 

For more information please contact nysapd@health.ny.gov

NYS All Payer Database Updates: To receive notifications and updates, join the APD Listserv at https://nyshc.health.ny.gov/web/nyapd/background