Oregon

Title or Name of APCD System: 
Oregon All Payer All Claims (APAC) Database
Category: 
Existing
Who Maintains the System: 
Office of Health Analytics, Health Policy and Analytics Division, Oregon Health Authority (OHA)
First Year APCD Collected Data: 
2010
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: 
3.2 million

Sources and Status of APCD Data Collection

Payers Currently Collected Planned Collection
Commercial PayersYes--
Third Party Administrators/Self-FundedYes--
MedicaidYes--
MedicareYes--
Types of Data Collected Currently Collected Planned Collection
Medical ClaimsYes--
EligibilityYes--
Dental--Yes
PharmacyYes--
Primary Users/Uses: 
APAC is an integral component of Oregon’s ongoing health care improvement efforts and provides access to timely and reliable data that are essential to improving health care quality, reducing costs, and promoting transparency. APAC’s legislative framework permits the use of the database to inform activities related to health care operations, treatment, payment, public health, and research. OHA and other Oregon state agencies use APAC to fulfill legislative mandates for data that can inform the development and evaluation of health policies, as well as guide and assess programmatic efforts to improve health access, outcomes, and costs. APAC is also used by external, non-state users to study population health issues and drive health system improvements.
Future Plans: 
Moving forward, OHA is seeking new ways to expand APAC’s reach and further its ability to inform health care improvement efforts. As Oregon’s health system evolves, APAC will evolve as well. For example, beginning in September 2017, APAC will collect data on alternative payment methods – that is, non-claims payments that payers make to health care providers. Adding these data to APAC will provide a more comprehensive look at the complete universe of health care payments in the state. As health care payment models across the nation continue to shift away from traditional fee-for-service arrangements towards capitated arrangements, provider performance incentives, and other alternative payment strategies, APAC will be able to shed light on the prevalence of different health care payment methods in Oregon.
State Specific Resources: 

APAC Overview
Provides an overview of the APAC database, including its purpose, what data is collected, how data is used, and the data request process. http://www.oregon.gov/oha/HPA/ANALYTICS/APAC%20Page%20Docs/APAC-Overview.pdf

Frequently Asked Questions 
Answers questions about APAC data collection, management, access and use. http://www.oregon.gov/oha/HPA/ANALYTICS/APAC%20Page%20Docs/APAC-FAQ.pdf

APAC Use Cases
Showcases previous projects for which APAC data has been approved and used. http://www.oregon.gov/oha/HPA/ANALYTICS/APAC%20Page%20Docs/APAC-Use-Cases.pdf

APAC Data User Guide
Release notes, data limitations, business rules and other tips for interpreting APAC data correctly. http://www.oregon.gov/oha/HPA/ANALYTICS/APAC%20Page%20Docs/APAC-Data-User-Guide.pdf

APAC Submission Memo for Version 2017.1.0
Instructions and notes for data submitters. http://www.oregon.gov/oha/HPA/ANALYTICS/APAC%20Page%20Docs/APAC%20Submission%20Memo%20for%20Version%202017.1.0.pdf

Appendix A-H: Version 2017.1.0 
Current data file layout for data submitters. http://www.oregon.gov/oha/HPA/HPARules/409-025-0120%20Appendices%20SOS.pdf

Contact Information: 

For more information please contact APAC.Admin@dhsoha.state.or.us.