Washington State All Payer Claims Database (WA-APCD)

The Washington State Health Care Authority (HCA) and Office of Financial Management (OFM) have officially adopted a plan to transition management of the state’s all payer claims database (WA-APCD) from OFM to HCA. HCA has been in lead organization negotiations with the Washington Health Alliance. We have not reached agreement. As such, we are moving forward with the assignment of contracts to HCA in the interim as we continue negotiations.

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The WA-APCD is a tool used to collect health care claims data for reporting, analytics, and to help the public make their health care decisions. It supports health care and payment reform while addressing the need for cost, quality, and utilization transparency. Using the WA-APCD, Washington State can help to advance medicine and public health.

The WA-APCD began in 2014 when the Washington State Legislature passed landmark legislation that directed the Office of Financial Management (OFM) to establish and create the database.

Status updates

Date

Activity

Notes

August 13, 2019

Request for Proposal (RFP) posted

HCA has posted an RFP soliciting proposals from eligible firms for a lead organization (LO) to coordinate, administer, manage, and operate the WA-APCD. The LO will be the prime contractor and will subcontract with one or more data vendor(s) and a web services vendor.

The RFP is posted in Washington's Electronic Business Solution (WEBS) - Washington's online solicitation notification system.

October 4, 2019 Apparent Successful Bidder (ASB) announced HCA has announced Washington Health Alliance as the apparently successful bidder to serve as lead organization of the WA-APCD.
December 5, 2019 Contract negotiations continue HCA has been in lead organization negotiations with the Washington Health Alliance. We have not reached agreement. As such, we are moving forward with the assignment of contracts to HCA in the interim as we continue negotiations.

Healthcare price transparency resources

Washington HealthCareCompare - winner of the 2018 National Association of Health Data Organizations “Innovation in Data Dissemination Award,” this online tool based on the WA-APCD data is part of the state's larger effort improve health care cost and quality transparency. Search over 100 procedures and treatments for cost information and examine quality ratings of providers and hospitals. The site also includes results for the Statewide Common Measure Set.

Washington State MONAHRQ – an information system of hospital inpatient care utilization, quality and potentially avoidable stays in Washington state’s community hospitals and by Washington residents.

CMS Hospital Compare - find and compare the quality of care at over 4,000 Medicare-certified hospitals.

Clinic visit costs by county and procedures

Historical information - 2014 to 2019

Lead organization and data vendor

The Center for Health Systems Effectiveness (CHSE) at Oregon Health & Science University (OHSU) was the WA-APCD Lead Organization responsible for the implementation and operation of the WA-APCD. CHSE is a leader in researching healthcare delivery serviced aimed at improving value and “bending the cost curve” of spending growth. Ted von Glahn served as the program director for OHSU.

Onpoint Health Data was the contracted data vendor for the WA-APCD. Onpoint has over 40 years’ experience in health data, developed Maine’s APCD in 2003, and launched over half of the nation’s statewide APCD solutions.

Access WA-APCD data

Rulemaking for the WA-APCD

Introduction to the APCD rules
Rulemaking timeline - revised February 2018

WA-APCD resources

Chapter 43.371 RCW
Washington State All-Payer Health Care Claims Database overview
Data supplier registration link for the WA-APCD
Data Access Under Chapter 43.371 RCW: Statewide Health Care Claim Data
Report to Legislature - December 1, 2016
Report to Legislature - December 1, 2017
OHSU WA-APCD website
List of reports for 2019

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