United States

Developing an Adaptable and Sustainable All Payer Database

Jan 26, 2015
From the Government Institute

Medicaid costs continue to rise and are a primary long-term cost driver for states. At the same time, there is an acute awareness that the quality healthcare outcomes that states and their citizens receive for their dollars are less than optimal.

To impact rising costs and realize quality improvements, transparency of costs and outcomes is essential. Without insight in whether value is high or not, providers, payers, and policy makers are limited in their ability to control costs, and patients cannot make fully informed choices.

States can save healthcare dollars, while promoting quality outcomes, by designing, building, and correctly using an All Payer Database (APD). An APD is a structured repository of healthcare data sourced from commercial and public payers, among others. APDs address some of these challenges, allowing states to identify the pain points in their current healthcare systems and enable them to take effective action.

This KPMG Government Institute white paper discusses the use of an APD as a tool states can use to support healthcare cost savings and quality outcomes and provides our perspectives on next steps for states to consider in moving to an APD solution.

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