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  • Iowa | APCD Council
    About Us APCD Council Leadership Team Our Sponsors Toggle navigation Search form Search Search State Efforts APCD Legislation by State Claims Data Release Rules Claims Data Collection Rules Iowa Publications Data Requests Resources FAQs Standards Awards and Requests for Proposals Employment Opportunities Presentations Vendors Webinars Learning Network Meeting Notes Calendar Calendar Archive About Us APCD Council Leadership Team Our Sponsors State Efforts Iowa Iowa Category Strong Interest State Efforts APCD

    Original URL path: http://www.apcdcouncil.org/state/iowa (2016-04-30)
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  • Missouri | APCD Council
    Us APCD Council Leadership Team Our Sponsors Toggle navigation Search form Search Search State Efforts APCD Legislation by State Claims Data Release Rules Claims Data Collection Rules Missouri Publications Data Requests Resources FAQs Standards Awards and Requests for Proposals Employment Opportunities Presentations Vendors Webinars Learning Network Meeting Notes Calendar Calendar Archive About Us APCD Council Leadership Team Our Sponsors State Efforts Missouri Missouri Category No Current Activity State Efforts APCD

    Original URL path: http://www.apcdcouncil.org/state/missouri (2016-04-30)
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  • Ohio | APCD Council
    About Us APCD Council Leadership Team Our Sponsors Toggle navigation Search form Search Search State Efforts APCD Legislation by State Claims Data Release Rules Claims Data Collection Rules Ohio Publications Data Requests Resources FAQs Standards Awards and Requests for Proposals Employment Opportunities Presentations Vendors Webinars Learning Network Meeting Notes Calendar Calendar Archive About Us APCD Council Leadership Team Our Sponsors State Efforts Ohio Ohio Category Strong Interest State Efforts APCD

    Original URL path: http://www.apcdcouncil.org/state/ohio (2016-04-30)
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  • Vermont | APCD Council
    Efforts Vermont Vermont Title or Name of APCD System Vermont Healthcare Claims Uniform Reporting and Evaluation System VHCURES Category Existing Who Maintains the System Vermont Green Mountain Care Board Website http gmcboard vermont gov vhcures Legal Authority Investment On an annualized basis we have been spending approximately 750 000 for outsources data collection processing consolidation analytics and report generation and for agency FTEs to administer the program We anticipate that this increase if we include Statute http www leg state vt us statutes fullsection cfm Title 18 Chapter 221 Section 09410 Submission Rules http gmcboard vermont gov sites gmcboard files REG H 2008 01 pdf Release Policy http gmcboard vermont gov sites gmcboard files REG H 2008 01 pdf First Year APCD Collected Data 2007 APCD Snapshot Vermont s statute indicates that their APCD was created as a resource for multiple stakeholders to measure performance of the health care system There have also been requests to use the data for modeling ACOs through the Health Care Reform Commission and developing population based reports on spending and utilization in the commercial population Number of Commercial Sources of Claims Data 10 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 Pharmacy Yes Primary Users Uses Analyses of cost utilization variations in quality episodes geographic differences and risk adjustment Future Plans Working with others to secure potential ARRA funds to create a multi state provider index registry data EMR lab etc State Specific Resources VHCURES Litigation History June 2015 Gobeille v Liberty Mutual Insurance Company SCOTUSblog Coverage December 2014 Spatial Analysis Study The Development of Primary Care Service Areas for the State of Vermont

    Original URL path: http://www.apcdcouncil.org/state/vermont (2016-04-30)
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  • Colorado | APCD Council
    4f75 805a 759d3cf96888 Rules Governing Data Submissions to APCD 2011 08 24 pdf aspx Release Policy http www civhc org All Payer Claims Database Data Release Review Committee aspx First Year APCD Collected Data 2012 APCD Snapshot Legislation passed in 2010 outlining the appointment of an advisory committee to guide the creation of Colorado s APCD The committee was granted a high level of flexibility regarding the APCD including where it is to be housed and how it is to be managed Also as of 2010 the Center for Improving Value in Health Care CIVHC a non profit organization was named the administrator for Colorado APCD and initial grant funding for planning was obtained A report to the governor and general assembly regarding funding efforts and recommendation statuses was provided in early February 2011 In November 2011 the Colorado APCD achieved a key legislative milestone when the Executive Director of the Division of Health Care Policy and Financing determined that there were sufficient funds in place to create the APCD beginning with the establishment of the data warehouse and intake mechanisms Data management vendor and partner Treo Solutions began collecting three years of historic claims information in early 2012 The Colorado APCD public facing website will launch on November 1 2012 and provide high level views of variation in cost and utilization for approximately two million commercial and Medicaid covered lives Sources and Status of APCD Data Collection Payers Currently Collected Planned Collection Commercial Payers Yes Medicaid Yes Medicare Yes Future Plans In 2013 the Colorado APCD plans to onboard additional claims data including Medicare and expand the public reporting of comparative cost quality and value information Consumer Website https www comedprice org State Specific Resources CIVHC State Agency vs Qualified Entity Comparison Document Colorado APCD Data Showcase Antitrust Legality

    Original URL path: http://www.apcdcouncil.org/state/colorado (2016-04-30)
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  • Kansas | APCD Council
    Data Analytic Interface DAI Category Existing Who Maintains the System Kansas Department of Health and Environment KDHE and the Division of Health Care Finance DHCF Website http www kdheks gov hcf data consortium default htm Legal Authority Statute http www kslegislature org li 2012 b2011 12 statute 065 000 0000 chapter 065 068 0000 article First Year APCD Collected Data 2004 APCD Snapshot The overall goal of the system is accuracy however access to the commercial payer data is limited to select individuals and controlled by the Kansas Insurance Department Kansas Department of Health and Environment KDHE is currently reporting from the Medicaid and State Employee Health Plan data sets Number of Commercial Sources of Claims Data 18 Covered Lives Commercial 1 2 million 2014 Medicaid 412 740 as of December 2015 Sources and Status of APCD Data Collection Payers Currently Collected Planned Collection Commercial Payers Yes Medicaid Yes Other Since July 2011 Kansas has acquired Medicaid claims databases which are integrated into the data warehouse The data warehouse also includes state employee health plan 2009 onward and KHIIS commercial claims 2009 onward All data is maintained on a rolling five year cycle 2009 2012 Medicaid data is fee for

    Original URL path: http://www.apcdcouncil.org/state/kansas (2016-04-30)
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  • Montana | APCD Council
    Requests for Proposals Employment Opportunities Presentations Vendors Webinars Learning Network Meeting Notes Calendar Calendar Archive About Us APCD Council Leadership Team Our Sponsors State Efforts Montana Montana Category Strong Interest Legal Authority Statute http www csi mt gov apcd HB0573 pdf Related APCD Activity In 2011 the Montana legislature passed HB0573 authorizing the Montana Office of the Commissioner of Securities and Insurance to ability to conduct a feasibility study into

    Original URL path: http://www.apcdcouncil.org/state/montana (2016-04-30)
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  • Oklahoma | APCD Council
    Opportunities Presentations Vendors Webinars Learning Network Meeting Notes Calendar Calendar Archive About Us APCD Council Leadership Team Our Sponsors State Efforts Oklahoma Oklahoma Category Existing Voluntary Effort Who Maintains the System MyHealth Access Network Website http www myhealthaccessnetwork net APCD Snapshot MyHealth is a statewide health information exchange and voluntary all payer claims database in Oklahoma APCD activities include aggregating claims data from Oklahoma Medicaid Commercial payers and Medicare MyHealth Access uses a master patient index to tie clinical and claims data together but also preserve the claims data in its original format to support calculation of health and value metrics such as HEDIS measures X12 and NCPDP standards are used where the claims data sources support it and all data is processed into a relational database where it is used to support analytics on cost and utilization as well as the calculation of electronic clinical quality measures when combined with clinical data MyHealth has clinical data on more than 3M patients and more than 3 years of complete claims history on nearly 1M Oklahomans Number of Commercial Sources of Claims Data 2 Blue Cross and Community Care of Oklahoma Covered Lives 1 Million Sources and Status of APCD Data

    Original URL path: http://www.apcdcouncil.org/state/oklahoma (2016-04-30)
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