Pricing
Data Product Fees
The following table summarizes the Washington All-Payer Claims Database (WA-APCD) data product fee schedule. For definitions of terms used, please refer to the sections after the table. Requesters can estimate custom dataset fees using the data product price estimation tool (coming soon). Final determination of fees will be made by the WA-APCD program as part of the data request review process.
| Data Product | Requester Tier | Mode of access | ||
|---|---|---|---|---|
Analytic Enclave Quarterly, per license; dataset updated quarterly | Analytic Enclave Annual, per license; dataset updated quarterly | Data Extract / Custom Delivery Annual fee; dataset updated annually | ||
| RUR dataset | All Tiers | $2,000 | ||
| Standard dataset | WA State Agency | $2,000 | $8,000 | $24,000 |
| Reduced Fee | $3,000 | $12,000 | $36,000 | |
| Standard Fee | $6,000 | $24,000 | $72,000 | |
| Custom dataset | WA State Agency | Custom* (min $2,000) | Custom* (min $8,000) | Custom* (min $24,000) |
| Reduced Fee | Custom* (min $3,000) | Custom* (min $12,000) | Custom* (min $36,000) | |
| Standard Fee | Custom* (min $6,000) | Custom* (min $24,000) | Custom* (min $72,000) | |
| Custom Analytic Report | WA State Agency | Custom* (min $2,000) | ||
| Reduced Fee | Custom* (min $3,000) | |||
| Standard Fee | Custom* (min $6,000) | |||
RUR: Relsease upon request
* For details, please contact the WA-APCD program.
Data Products
The WA-APCD offers five types of data products to requesters and users.
Public Use Files and Dashboards
The WA-APCD program publishes aggregate health care cost and utilization data on the program website. These are available to the public and users at no cost and are updated annually.
Release Upon Request (RUR) Data Extracts
The RUR data extracts are available to the public when requested using a simplified data application. These include standard aggregate datasets that do not include direct or indirect patient identifiers. The following two standard de-identified RUR data extracts are available:
- The WA-APCD RUR Analytic Dataset includes medical, and pharmacy, claims combined into a single table. Providers have been de-identified and payer names, charge amounts, and paid dates have been removed, allowing the retention of paid amount fields.
- The WA-APCD RUR Public Use File groups records by diagnosis, age group, and member location (i.e., the first three digits of the ZIP code).
Standard Datasets
The standard Limited-Use Cost and Provider dataset (C+P) dataset meets most of the analytic scenarios supporting a public benefit use case. This does not include direct patient identifiers and is available to authorized users pursuant to RCW 43.371. The standard dataset includes medical and pharmacy eligibility and claims data, with claim level detail. Providers and payers have been de-identified. Requests for specific data elements in the standard dataset are reviewed against the specifics of the use case and the minimum necessary data to meet the approved use case.
Custom Datasets
For requesters whose analytic needs are not served by one of the standard datasets, the WA-APCD program offers customization of a standard dataset for additional fees. A customized dataset may include direct patient identifiers for approved requesters pursuant to RCW 43.371.050(4)(a).
Custom Analytic Reports
In addition to requests for datasets from the WA-APCD, the WA-APCD program offers custom analytic reports to requesters. This involves the requester engaging with the WA-APCD program to develop analytic definitions, specify the type of analyses, and design the analytic report to clarify final product deliverable expectations. Following request submission, a flat fee of $2,000 is charged for the report design and development (this fee is credited to the requester and deducted from the total cost of the report). If the report requirements are sufficiently defined in the report request and a subsequent 1–2-hour design session, then no up-front report design and development fee is assessed. The report design and development fee is not assessed if the requester chooses not to proceed with the product purchase at the close of this initial 1–2-hour design session. The requester must pay the full design and development fee if the product development work exceeds the initial design session regardless of the final product purchase decision.
Data Requester/Applicant Tiers
WA-APCD considers three tiers of WA-APCD data requesters and applicants.
WA State Agency Tier
WA State Government Agencies: Data use is for WA state government agency activities, whether performed directly by the agency or by a contracted vendor. This tier includes entities of WA State Legislature, such as the Washington State Institute for Public Policy (WSIPP), etc. This tier does not include institutes of higher education.
Reduced Fee Tier
WA Local Government/Public Benefit/Non-Profit/Researchers*: Data use is for public benefit and the output is made available to the public at no cost. This tier is available to non-profits that have attested to having limited financial resources. This tier does not apply to trade associations and large foundations, even if incorporated as a non-profit entity. This tier does not apply to non-profit organizations with extensive resources (e.g., commercially backed funding, grant funding, etc.).
Standard Fee Tier
All Other Requesters: This tier includes all other requesters who are not included in the WA State Agency or Reduced Fee Tiers.
*Special Considerations
Researchers with Limited Resources: Special consideration is offered to data requesters who are post-graduate researchers and are 1) requesting data as part of their post-graduate research, 2) have extremely limited resources (i.e., no grant funding), and 3) commit to making their output available to the public at no cost. For requesters whose application for special consideration is successful, the WA-APCD program may subsidize or waive the data product fees depending on the specific circumstances. The WA-APCD program will consider individual case circumstances and overall program funding availability, while reviewing each application for special consideration. Requesters may be asked to connect with the HCA Academic Learning Collaborative and seek support for their data application.
Accessing WA-APCD Data Products
Data users, requesters, and applicants can get access to WA-APCD data products using one of following three ways.
WA-APCD Website
The public can access health care cost and utilization transparency reporting provided by the WA-APCD program through the WA-APCD website.
Analytic Enclave
The Analytic Enclave is a managed, cloud-based analytic environment enabling secure access to the all-payer claims data, added-value data augmentation services, and a set of analytic tools. Standard and Custom datasets made available through the enclave are refreshed quarterly with the newest data submissions. Access is available to requesters as quarterly or annual seat licenses.
Data Extract / Custom Delivery
The RUR, Standard, and Custom datasets are also made available to requesters in the form of data extracts delivered via secure file transfer protocol. Datasets made available in this way are refreshed annually. Custom delivery for such datasets, as well as for Custom Analytic Reports, can be discussed with the WA-APCD program as part of the data request process.