This report presents a summary of the costs to states associated with the development of All-
Payer Claims Databases (APCDs). The findings are based on information gathered from states
that have implemented APCDs, including review of state vendor contract documents and
telephone interviews with state contacts. Both current and expired contract documents were
To view the publication please go to the NAHDO publications page at https://www.nahdo.org/publications, click on view document under the APCD Cost Study Summary of Findings entry and log into the NAHDO website.