The Oregon All Payer All Claims Database (APAC) is a large database that houses administrative health care data for Oregon’s insured populations. It includes medical and pharmacy claims, enrollment data, premium information, and provider information for Oregonians who are insured through commercial insurance, Medicaid, and Medicare.
The Oregon State Legislature established APAC in 2009 as a tool to measure health care costs, quality, and utilization, and commissioned the Oregon Health Authority (OHA) to operate the database. An integral component of the state’s ongoing health care improvement efforts, APAC provides access to timely and reliable data essential to improving quality, reducing costs, and promoting transparency.
Notice of Proposed Rulemaking
The Authority is proposing to amend Appendix G within OAR 409-025-0120 in order to update language and align data collection requirements with program needs, OHA priorities, and statutory requirements. Other than the proposed changes to Appendix G, the Authority does not plan to make any changes to the text of the rule at this time.
Appendix G to OAR 409-025-0120, All Payer All Claims Program
Hearing Date: Monday, April 17, 2017, 2:00 p.m.
Hearing Location: 500 Summer St NE, Room 456, Salem OR 97301
Last Date for written comments: Wednesday, April 17, 2017, 5:00 p.m.
Provides an overview of the APAC database, including its purpose, what data is collected, how data is used, and the data request process.
APAC Use Cases
Showcases previous projects for which APAC data has been approved and used.
For Data Requesters
For information about how to use APAC data, the data request process, and applications, visit our APAC Data Request Page.
For Data Submitters
Current and new data submitters can find information about submission specifications, schedules, and waivers below.
APAC-1: Waiver or Exception of Reporting Requirements
Use this form to request an exception to mandated reporting requirements.
Effective January 1, 2017
Leading Indicators for Oregon's Health Care Transformation
This report presents quarterly data from Oregon's All-Payer All Claims Reporting Program.
Leading Indicators Report, September 5, 2015
Leading Indicators Report, April 30, 2015
Oregon Revised Statute (ORS 442.464, 442.466, & 442.993)
Statute that mandates reporting of health care claims data.
Gobeille v. Liberty Mutual and APAC
This document describes a recent Supreme Court case that affects all payer claims databases and how this impacts APAC submissions.
Excluded Claim Line Codes
Per OAR 407-014-0020, information related to the receipt of substance abuse treatment will not be disclosed without written authorization, unless disclosure is otherwise permitted under 42 CFR part 2. This document contains all diagnosis, procedure and revenue codes that result in claims line exclusions.