Utah

Title or Name of APCD System: 
Utah All-Payer Claims Database
Category: 
Existing
Who Maintains the System: 
Utah Department of Health, Office of Health Care Statistics
First Year APCD Collected Data: 
2009
APCD Snapshot: 
The Utah All Payer Claims Database became the fifth operating APCD in the nation in September 2009. Participating plans submit enrollment, medical, and pharmacy files starting from 1/1/2007 until they are current. As of November 2011, Utah’s APCD includes data from several health plans which cover approximately 2.1 million lives representing 93% of the state’s commercially-insured market.
Number of Commercial Sources of Claims Data: 
15

Sources and Status of APCD Data Collection

Payers Currently Collected Planned Collection
Commercial PayersYes--
Third Party Administrators/Self-FundedYes--
MedicaidYes--
Medicare--Yes
Types of Data Collected Currently Collected Planned Collection
Medical ClaimsYes--
EligibilityYes--
Dental--Yes
PharmacyYes--
OtherDental in 2012
Primary Users/Uses: 
Planning capability to provide analyses of cost, efficiency, quality of care, system utilization, patterns of care, geographic differences, and physician based reporting.
Future Plans: 
Analyses of cost and efficiency, quality of care, system utilization, patterns of care/episodes of care, geographic differences, physician-based reporting.
State Specific Resources: 
Contact Information: 

For more information please contact Norman Thurston at nthurston@utah.gov.