Virginia

Title or Name of APCD System: 
Virginia All Payer Claims Database
Category: 
Existing with Voluntary Submission
Who Maintains the System: 
Virginia Health Information under the authority of the Virginia Department of Health
First Year APCD Collected Data: 
2011
APCD Snapshot: 
Virginia's APCD includes paid claims from commercial health insurance companies and the Department of Medical Assistance Services (DMAS). This voluntary program facilitates data driven, evidence-based improvements in the access, quality and cost of healthcare. The Virginia Department of Health has contracted with VHI to implement the APCD to be consistent with the law and in collaboration with healthcare stakeholders.
Number of Commercial Sources of Claims Data: 
9

Sources and Status of APCD Data Collection

Payers Currently Collected Planned Collection
Commercial PayersYes--
Third Party Administrators/Self-FundedYes--
MedicaidYes--
Medicare--Yes
TriCare--Yes
Types of Data Collected Currently Collected Planned Collection
Medical ClaimsYes--
EligibilityYes--
PharmacyYes--
Primary Users/Uses: 
Virginia APCD data can be accessed via the Milliman MedInsight Platform, data extracts and through custom reports.
Contact Information: 

For more information please contact Debbie Condrey at Debbie.Condrey@vdh.virginia.gov