FHC Perspective in New England Journal of Medicine on the Future of APCDs



This week the New England Journal of Medicine features an “Online First” perspective piece by John Freedman and Linda Green along with Professor Bruce Landon of Harvard Medical School. "All-Payer Claims Databases—Uses and Expanded Prospects after Gobeille" highlights the history of APCDs and their value for understanding population health and supporting evidence-based health policy. It describes some of the challenges posed by the post-Gobeille rule including:

  • Sustaining and funding APCDs, which may be resource intensive for states
  • Encouraging payers to participate despite reporting requirements, which are often perceived to be burdensome
  • Linking provider and patient identities across time and carriers in order to unlock the full potential of APCD data, and
  • Obtaining complete and timely data, something that is a key determinant of the success of APCDs in the post-Gobeille era

Despite Gobeille’s impact on APCD data collection, the resulting movement toward data standardization offers the opportunity for a faster and less expensive expansion of APCDs.

For any questions relating to this publication, please contact John or Linda.



NEJM Perspective NEJM Perspective (403 KB)


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