Rhode Island
Category
Title or Name of APCD System
  • HealthFacts Rhode Island Database
Who Maintains the System
  • A collaborative effort amongst the Rhode Island Department of Health, the Office of the Health Insurance Commissioner, the Health Benefits Exchanges, and the Executive Office of Health and Human Services
Website
Legal Authority
Statute
Submission Rules
Data Submission Guide
Release Policy
First Year APCD Collected Data
  • 2013
APCD Snapshot
  • Legislation establishing an APCD was passed in 2008. Because the statute did not provide funding for the Department of Health to develop and operate an APCD, the state has mobilized a series of federal grants to support start-up operations. Following the end of these federal grants, the project's four partner agencies -- Medicaid, the Health Insurance Exchange, the Office of the Health Insurance Commissioner, and the Department of Health -- will commit funding and staff to the ongoing operations of the APCD.
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
Primary Users/Uses
  • Medicaid, Dept. of Health, Health Insurance Commissioner and the Health Insurance Exchange
Contact Information

Use Cases from the APCD Showcase

Displaying 1 - 5 of 10

Use Cases Category Carriers
Evaluating the impact of health equity zones to mitigate disparities in cancer screening: study of colorectal cancer screening in Rhode Island
This case study uses Rhode Island's all-payer claims database (HealthFacts RI) to evaluate whether the state's Health Equity Zones initiative improved colorectal cancer screening rates among vulnerable populations, finding that HEZs appear to narrow screening disparities among Medicaid beneficiaries — suggesting the model may be worth replicating in other Medicaid expansion states.
 Population Health Commercial, Medicaid
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
Evaluation of colorectal cancer screening practices in Rhode Island, 2011–2021
This study examined colorectal cancer screening patterns in Rhode Island from 2011–2021. It found disparities in screening use based on sex, insurance type, and community economic status, highlighting inequities in access to colorectal cancer screening.
 Population Health, Providers Commercial
Addressing a Measurement Gap by Linking State All-Payer Claims Database with State Cancer Registry Data
A limitation of the central cancer registries to examine associations between mammography use and cancer diagnosis is their lack of cancer screening history. To fill this measurement gap, Rhode Island Cancer Registry (RICR) breast cancer (BC) records were linked to Rhode Island-all-payer claims database (RI-APCD) to study Rhode Island (RI) women's regular mammography use and identify its predictors.
 Consumers, Medicaid, Population Health, Researchers Commercial, Medicaid, Medicare
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