State all payer claims databases : identifying challenges and opportunities for conducting patient-centered outcomes research and multi-state studies / Ashley M. Kranz [and four others].

Format:

Book

Author/Creator:

Kranz, Ashley M., author.

Language:

English

Subjects (All):

Insurance claims.

Physical Description:

1 online resource (iv, viii, 78 pages)

Other Title:

State all payer claims databases

Place of Publication:

Washington, D.C. : U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, 2023.

Summary:

This report is the third in a series of reports commissioned by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) from the RAND Corporation addressing state all payer claims databases (APCDs). APCDs include medical, pharmacy, and dental claims, as well as enrollment and provider files collected from private and public payers by states, usually as part of a State mandate. This report focuses on issues associated with two aspects of APCD research: the use of APCDs to conduct patient-centered outcomes research (PCOR) and the challenges of multi-state APCD research.

Contents:

Background

Looking Forward

About This Project Report

Acknowledgments

Disclaimer

Summary

Chapter 1. Introduction

Objectives and Approach

Organization of This Report

Chapter 2. Use of APCDs for Patient-Centered Outcomes Research

Stakeholder Perspectives on Uses of APCDs for Patient-Centered Outcomes Research

Challenges and Strategies

Chapter 3. Multi-State Uses of APCDs

Stakeholder Perspectives on Uses of APCDs for Multi-State Research

Chapter 4. Summarizing Issues and Possible Actions

Issues and Possible Actions

Conclusions and Next Steps

Appendix A. Semistructured Discussion Guides

Appendix B. Use Case 1: Out-of-Pocket Spending on Insulin and Total Costs of Care for Insulin Users

Appendix C. Use Case 2: Total Costs for Individuals with Long COVID

Appendix D. Common Data Application

Appendix E. Annotated Common Data Application

Abbreviations

References.

Notes:

Description based on publisher supplied metadata and other sources.