Health Care Payments Data (HPD)
Health Care Payments Data Program#
AB 1810 (Chapter 34, Statutes of 2018) included a one-time appropriation for OSHPD to develop and administer a statewide Health Care Payments Database, often referred to as an All Payer Claims Database or APCD. The information from the database is intended to support greater health care cost transparency and will be used to inform policy decisions regarding the provision of quality health care, and to reduce health care costs and disparities. It is also intended for the information to be used to develop innovative approaches, services, and programs that may have the potential to deliver health care that is both cost effective and responsive to the needs of all Californians.
From March 2019 to February 2020 OSHPD convened a Review Committee comprised of health care stakeholders and experts who advised OSHPD on the establishment, implementation, sustainability, and ongoing administration of the database. The Review Committee unanimously approved 36 recommendations that were included in an OSHPD report to the Legislature, released March 9, 2020. See the Review Committee webpage for meeting materials and information on committee members.
On March 9, OSHPD submitted the report to the Legislature with recommendations that:
- Ensure the database receives appropriate data from identified data submitters.
- Provide enforcement mechanisms necessary for these entities to comply.
- Protect individual privacy and confidentiality of the data.
- Identify a governance structure, including the appropriate entity to operate the database.
The Phase 2 Implementation Plan includes anticipated program activities from March 2020 through December 2023.
2020 – March To June #
- Stakeholder engagement for system functionality and data specifications.
- Complete Department of Technology process to authorize database technology solution selection
2020 – July to december#
- Continue stakeholder engagement, including finalizing common data specifications with national All-Payer Claims Database Council.
- Potential beginning of rulemaking process.
2021 – January to december#
- Technology contracting for data collection.
- Design and develop database technology solutions.
2022 – January to december#
- Potential regulations would take effect.
- Begin limited data collection and perform initial data quality and evaluation activities.
- Finalize database technology solutions.
2023 –January to june 2023#
- Continue data quality and evaluation activities.
- Finalize data collection and complete database technical infrastructure.
2023 – July to december#
- Begin producing initial analytic reports from the database.
The following are resources and background materials for the Healthcare Payments Data Program and other All-Payer Claims Databases:
- Health and Safety Code, Division 107, Part 2, Section 8.5
- 2017 CHHS Agency Report – Data Atlas Technical Feasibility Analysis
- National Association of Health Data Organizations (NAHDO)
- All Payers Claim Database (APCD) Council
- APCD- Common Data Layout
- California Health Care Foundation: The ABCs of APCDs
- Insure the Uninsured Project Conference: Health Care Costs and Cost Transparency Workshop