Texas has a voluntary claims data collection effort through the University of Texas Center for Healthcare Data. They collect medical and pharmacy claims that account for 65% of the Texas population. Data contained in the database includes:
Blue Cross Blue Shield of Texas (BCBSTX): 2008-2016 data available for more than 3 million individuals and over 11 million unique individuals. Contains all medical and pharmacy claims for BCBSTX members living in Texas under age 65. Data are updated annually.
Truven Marketscan®: 2011-2015 administrative claims data for 98,691,849 unique members. The Truven Health MarketScan® Research Databases capture person-specific clinical utilization, expenditures, and enrollment across inpatient, outpatient, prescription drug, and carve-out services. The data come from a selection of large employers, health plans, and government and public organizations. The annual medical databases include private-sector health data from approximately 350 payers. Historically, more than 20 billion service records are available in the MarketScan databases.
Truven Marketscan® Health and Productivity Management (HPM) Database: The MarketScan® HPM Database contains integrated data regarding workplace absence, short-term disability, and workers’ compensation for almost three million employees. This information is linkable to the medical, pharmacy, and enrollment data in the Truven MarketScan claims database for these employees. The result is a unique resource that can be used to examine health and productivity issues for an employed, privately insured population.
Texas Medicaid: 2010-2013 enrollment, medical and pharmacy claims data for 4,045,104 unique members. The UTHealth Center for Health Care Data is the designated data repository for the Medicaid program in the State of Texas.
Texas has also attempted mandating an APCD for the state. In 2011, the Texas Legislature passed SB 7 in the first special session of the 82nd Legislature. Article 3 of the bill created the Texas Institute of Health Care Quality and Efficiency at the Health and Human Services Commission (HHSC). The Institute was required to create a state plan to improve the quality and efficiency of health care delivery, and study and make recommendations on various issues. One of these issues is the feasibility and desirability of establishing an APCD. The Institute was dissolved in 2015 and, as of 2017, no new efforts to establish an APCD in Texas are occuring.