APCD Use Cases

Data extracted from APCDs is commonly used for research and analysis to inform policymakers on health and healthcare policy decisions. It is also used for academic research to support and further medical science and the understanding of illness and injury. APCD data is used for analysis of the costs of individual services, total cost of care for populations, both statewide and at the community level. It is used to understand rates of utilization of services, medications, devices, and other types of care, as well as the rate of incidence of specific diseases, conditions, or injuries. Data is also used for financial analyses and reports to inform budget planning by public and private entities.

Some examples of ACPD use cases from other states:

  • Colorado: Generated an out of network services fee schedule as part of a coordinated effort to eliminate surprise medical billing. Maryland also uses APCD data to track trends in surprise billing.
  • Arkansas: Data showed that smoking costs Medicaid and private insurance over $795 million a year in the state.
  • Virginia: Identified a potential cost savings of $100,515,823 for using PCPs vs Emergency Departments for the same treatment.
  • Utah: Found that patients with back pain was the most common reason for chronic prescription opioids, which led to targeted physician outreach. Virginia and Minnesota also used their APCDs to track opioid use. 
  • Massachusetts:  Offers a procedure pricing tool that displays by insurer, the median payment to any provider of 295 services, along with quality information about providers.

Georgia Use Cases:

We are currently reviewing our prioritized list of use cases with the Advisory Committee. As soon as the prioritization effort is complete, we will post the use cases here.