Realizing the Promise of All Payer Claims Databases: A Federal and State Action Plan

Developed with the support of the Robert Wood Johnson Foundation

In 2020, health care spending in the United States increased by nearly 10% to reach $4.1 trillion, or 20% of the U.S. economy. Yet, for an industry powered by data and foundational to the health and well-being of our nation, policymakers, regulators, and other public stakeholders often lack comprehensive, cohesive, and timely information about its operations and performance, including:

  • What services it delivers, at what cost, and to what end
  • Where service inequities and health disparities persist across and among populations
  • Which services and entities are driving health care cost growth
  • Why our systems of health, the costliest in the world, continue to produce life expectancies below those of peer countries
  • How our federal and state policy and program reforms have impacted the lives of Americans

Reflecting our nation’s fragmented health care delivery system and its patchwork of federal and state regulatory authorities, our nation’s health system data is also siloed, scattered, and incomplete. State insurance departments, Medicaid departments, Affordable Care Act (ACA) Marketplaces, and state employee health benefit programs, for example, each collect and monitor data for the plans, providers, and individuals under their respective authorities, providing each a relatively narrow view into the dynamic markets they serve. State departments’ fragmented and siloed views of health systems often limit their ability to effectively pursue broader regulatory goals—such as increasing coverage, containing costs, and improving service quality—and foresee, and possibly prevent, unintended impacts of potential regulatory actions and can make them vulnerable to industry gaming, as regulated entities often have more market information than do regulators.

To address local information gaps, state policymakers and regulators from across the country—and across the political spectrum—have invested in APCDs, which can offer unique insights into local market dynamics and operations.

Below are the library of materials Manatt has created to help you better understand, plan for and implement APCDs.

Executive Summary

Download our executive summary, proposing actions that the federal government can take in partnership with states to strengthen our local and national health data capacity to support evidence-based policymaking


Full Paper With Federal and State Action Plan

Download our full paper, developed with the support of the Robert Wood Johnson Foundation


Other White Papers and Articles

Download our white papers and articles related to All Payer Claims Databases (APCDs)


National Health Data Summit: Realizing the Promise of All-Payer Claims Databases

In conjunction with the release of Realizing the Promise of All-Payer Claims Databases: A Federal and State Action Plan—Manatt’s new white paper, funded by the Robert Wood Johnson Foundation and Peterson Center on Healthcare—Manatt will be facilitating a national summit about the future of APCDs, and how federal and state leaders can partner to strengthen our nation’s health system data and analytic infrastructure.


Other Webinars

View and download our webinars related to All Payer Claims Databases (APCDs)

Kevin Casey McAvey


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Amy Zhan


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Joel S. Ario

Managing Director

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Jonah P. B. Frohlich

Senior Managing Director

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