Washington State Office of Financial Management
The Office of Financial Management (OFM) supplies vital information, fiscal services and policy support that the Governor, Legislature and state agencies need to serve the people of Washington. In 2014, the Legislature directed OFM to establish the Washington State All-Payer Claims Database (WA-APCD).
Washington State All-Payer Claims Database (WA-APCD)
The WA-APCD is the state's most complete source of health and dental insurance data. It contains claims from more than 30 commercial health care payers; the Medicaid program, including its five managed care plans; and Medicare Advantage, the HMO products for Medicare members. The WA-APCD has historical claims data starting in 2013, and each calendar quarter, the most current claims data are added to the all-payer dataset. Data from Washington's workers' compensation program are also available.
The WA-APCD includes information about the insurance coverage for Washington covered persons -- their conditions and treatments and the cost and quality of their medical care. WA-APCD data products feature longitudinal data from 2013 onward, updated quarterly, with eligibility and claims data for commercial, Medicaid and Medicare Advantage market sectors and includes over 4 million covered lives. A master patient index allows users to follow patients over time and across payers. Allowed cost data is available at the medical service-line level to support value-based care management. For more detailed information on the database, see the WA-APCD website: https://www.wahealthcarecompare.com/wa-apcd-data-requests.
Steps Required to Obtain Data
The WA-APCD request process is run by the WA-APCD lead organization, the Oregon Health & Science University - Center for Health Systems Effectiveness. Detailed information about the data request process can be found on the WA-APCD website: https://www.wahealthcarecompare.com/wa-apcd-data-requests. Data requesters must complete an application, which will be reviewed against allowable uses defined in statute and rule, and are encouraged to discuss their data needs with lead organization staff before submitting the application.
Claims & Transactions
Administration & Operations
Population, Public Health & Social Services
Originating Data Source
Intended End User
Is the data identifiable?
Real or Synthetic Data
Data is Updated
The WA-APCD are updated on a quarterly basis.
Free of Charge?
Depends on request.