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
Website:
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 Payers | Yes | -- |
| Third Party Administrators/Self-Funded | Yes | -- |
| Medicaid | Yes | -- |
| Medicare | -- | Yes |
| Types of Data Collected | Currently Collected | Planned Collection |
|---|---|---|
| Medical Claims | Yes | -- |
| Eligibility | Yes | -- |
| Dental | -- | Yes |
| Pharmacy | Yes | -- |
| Other | Dental 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 Brantley Scott at bsscott@utah.gov.