Oregon
Category
Title or Name of APCD System
  • Oregon All Payer All Claims (APAC) Database
Who Maintains the System
  • Office of Health Analytics, Health Policy and Analytics Division, Oregon Health Authority (OHA)
Website
Legal Authority
Investment
  • Initial budget was $700,000
Statute
Submission Rules
Release Policy
First Year APCD Collected Data
  • 2011
APCD Snapshot
  • Oregon has created a state-based APCD to collect data on all paid claims (starting January 2010) from commercial health insurance carriers, licensed third party administrators, pharmacy benefit managers, Medicaid managed care organizations, Medicaid fee-for-service and Medicare parts C and D. Oregon collects Medicare parts A and B from CMS, but does not release this data to external users.
Number of Commercial Sources of Claims Data
  • 70
Covered Lives
  • 4.2 million
Sources and Status of APCD Data Collection
Payers
Commercial Payers
  • Currently Collected
Third Party Administrators/Self-Funded
  • 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
Other
  • Subscriber Billed Premiums
Primary Users/Uses
  • Oregon’s All Payer All Claims (APAC) database contains information about Oregon’s insured population and the health care services they receive — such as diagnoses, visits, and payments made. The information comes from administrative records kept by insurers (also known as payers). APAC is a unique resource for statewide health care improvement efforts. With data collected from all major public and private payers, APAC is the most comprehensive database on health care costs, quality, and utilization in Oregon.
    Medical and pharmacy data is available starting from 2011, while dental service data is available from 2019. Since 2017, APAC has also collected payment arrangement files at the service contract level, which include payment methodologies (based on HCP-LAN categories) and amounts related to primary care. The payment arrangement data is considered to be trade secrets and is used exclusively for internal purposes by OHA.
Future Plans
  • Moving forward, OHA plans to revise documents and forms for data requests to provide greater transparency in data availability and confidentiality, and greater efficiency of staff time to fulfill requests. Data collection may expand to include capitation rates at the member level and pharmaceutical rebate information.
State Specific Resources
Contact Information