Health Care Payments Data (HPD)
Health Care Payments Data Program#
AB 80 (Chapter 12, Statutes of 2020) provides OSHPD the authority to establish the Health Care Payments Data Program (HPD), often referred to as an All Payer Claims Database or APCD. This enabling legislation expands the mandate provided by AB 1810 (Chapter 34, Statutes of 2018), which included a one-time appropriation for OSHPD to develop and administer the program and required OSHPD to convene a Review Committee of stakeholders and experts to advise the department on the establishment, implementation, sustainability, and ongoing administration of the HPD Program. The Review Committee’s recommendations were included in a report submitted to the California Legislature on March 9, 2020.
The information from the HPD System 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.
The Phase 2 Implementation Plan includes anticipated program activities from July 2020 through December 2023.
2020 – July to December#
- Stakeholder engagement, including finalizing common data specifications with national All-Payer Claims Database Council.
- Beginning of rulemaking process.
- Convene HPD Advisory Committee.
- Convene HPD Data Submitter Workgroup.
2021 – January to december#
- Technology contracting for data collection.
- Design and develop database technology solutions.
- Completion of rulemaking process to establish emergency regulations for data submission requirements.
2022 – January to december#
- Regulations take effect.
- Begin limited data collection and perform initial data quality and evaluation activities.
- Finalize database technology solutions.
2023 – January to june 2023#
- Submit report to the Legislature with recommendations for funding options for the HPD program.
- 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.
On March 9, 2020, OSHPD submitted a report to the California 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 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