This paper provides an update on the development of state-operated All-Payer Claims Databases (APCDs), with a focus on potential analytic uses and capabilities. The purpose of of the paper is to highlight key questions that APCD data and analysis can answer on their own and when linked to other data resources. These questions are organized under four broad topics related to health care reform: health care spending; price transparency; health care quality; and payment reform evaluation. Within these four sections, we provide detail on topics of interest to state agencies, policy-makers, and data analysts. Throughout the paper, we provide examples of existing state uses of APCDs, reporting templates, and dashboards to highlight the unique value of this state data resource.

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