All-Payer Claims Databases (APCDs)
In a healthcare landscape clouded by complexity and fragmentation, all-payer claims databases (APCDs) offer comprehensive data for important clarity and insight.
An APCD collects detailed information from commercial and public health plans like Medicaid and Medicare about the specific services – from X-rays and knee replacements to drug refills and annual check-ups – provided to patients with health insurance.
Once collected, the data is checked for quality and completeness, combined into a comprehensive database, and organized into data sets, dashboards, and other resources for states to use.
Providing a starting place of cleansed and comprehensive data, APCDs help government agencies, approved analysts, and others explore how healthcare use, costs, and outcomes vary across a wide range of factors.
APCD data can be used to support the design and implementation of system reforms, evaluate the impact of existing and pilot programs, and provide transparency around the price and quality of healthcare.
We provide end-to-end APCD services – from secure data intake, validation, and enrichment through high-value analytics, reporting, and public transparency solutions. Our services include the expert data integration of claims and supplementary data, submitter onboarding and compliance, rigorous quality assurance, measures calculation, custom analysis, interactive dashboards, and AI-enabled insights that help states turn raw data into actionable intelligence.
For states thinking about starting an APCD, we offer comprehensive consulting services informed by our proven work with APCDs from coast to coast. For states considering an update to their existing APCD systems, we offer industry-leading services for next-generation solutions.
Onpoint has been a market leader in the development and management of APCDs for more than two decades. We have developed and deployed more than a dozen APCDs to provide states with critical insights, innovating and enhancing our solutions every step of the way.
Our Work With APCDs
How We Help
Onpoint partners with states, purchasers, and policy leaders to turn their complex health data into clear insights. With decades of all-payer claims experience, secure and scalable systems, and a commitment to transparency, we deliver services that support better policy, smarter decision-making, and high-quality, efficient healthcare for clients and communities across the country.