Healthcare Payments Data (HPD)

Cost Transparency Healthcare Payments Data Program#

Overview#

AB 1810 (Chapter 34, Statutes of 2018) included a one-time appropriation for OSHPD to develop and administer a statewide Healthcare  Payments Database, often referred to as an All Payer Claims Database or APCD. The information from the database is intended to support greater healthcare cost transparency and will be used to inform policy decisions regarding the provision of quality health care, and to reduce healthcare 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

OSHPD is responsible for convening a review committee composed of healthcare stakeholders and experts to advise OSHPD on the establishment, implementation, sustainability, and ongoing administration of the database. OSHPD must submit a report to the Legislature by July 1, 2020 with recommendations from the Review Committee. The report will specify recommendations for additional legislation needed to ensure the database receives appropriate data, legislation needed to protect individual privacy rights and confidentiality, and a plan for long-term, non-General Fund financing to support the ongoing costs of maintaining the database.

Read Health and Safety Code, Division 107, Part 2, Section 8.5

Read the HPD Program Summary 

Review Committee#

As required by statute, the Review Committee is composed of healthcare stakeholders and experts, including, but not limited to:

  • Managed care plans regulated by the Department of Managed Health Care (DMHC).
  • Health insurers regulated by the California Department of Insurance (CDI).
  • “Suppliers,” defined as a physician and surgeon or other health care practitioner, or an entity that furnishes health care services other than a provider.
  • “Providers,” defined as a hospital, a skilled nursing facility, a comprehensive outpatient rehabilitation facility, a home health agency, a hospice, a clinic, or a rehabilitation agency.
  • Self-insured employers.
  • Multi-employer self-insured plans.
  • Businesses that purchase health care coverage for their employees.
  • Labor organizations.
  • Consumer organizations.

Contact#

Contact HPD at hpd@oshpd.ca.gov. To receive regular informational updates about the program, subscribe to the HPD mailing list. Please email hpd@oshpd.ca.gov if you would like to receive notices for upcoming Review Committee meetings

Upcoming Activities#

The Phase 1 Implementation Plan includes program activities from January 2019 until the report to the Legislature is due by July 1, 2020. Read the full February 2019 Implementation Plan.

2019 – Quarter 1, January to March#
  • Select Committee Members
  • Continue environmental scan and market research
  • Disseminate Committee Issue Materials to Committee Members
  • Conduct first monthly committee meeting on March 21, 2019
2019 – Quarter 2, April to June#
  • Conduct Committee Meetings
  • Begin IT project planning
2019 – Quarter 3, July to September#
  • Conduct Committee Meetings
  • Begin drafting report
2019 – Quarter 4, October to December#
  • Conduct Committee Meetings
  • Develop final committee recommendations
2020 – Quarter 1, January to March#
  • Conduct Committee Meeting to respond to questions and comments prior to finalizing report
  • Finalize report
2020 – Quarter 2, April to June#
  • Finalize report for submission to the Legislature by July 1, 2020