Industry-evolving data services and analytic solutions designed to help our clients spanning a wide range of markets realize their visions of healthcare transformation.
All-Payer Claims Databases
All-Payer Claims Database (APCD) solutions provide valuable insights into the delivery of care across a variety of healthcare settings. The comprehensive, multi-payer views of the data they offer support a wide range of stakeholders – from policymakers and researchers to purchasers and providers – in their endeavors to fill critical information gaps and address the need for greater transparency in regard to the cost, quality, and utilization of services.
Onpoint has been a pioneer in the APCD market for more than a decade. Since developing and deploying the first program of its kind for the state of Maine in 2003, we’ve launched half of the nation’s statewide solutions in addition to a series of regional platforms.
Our APCD solution is proven, the databases we deliver are reliable, the follow-on analytics we optimize are actionable, the depth of our expertise is unmatched, and our service delivery is responsive. This hard-won expertise informs our daily work and is guided by a constant commitment to independent results, transparency, and continuous improvement.
Accountable Care Organizations
Accountable Care Organizations (ACOs) seek to ensure that patients receive timely and quality care. Making providers equally accountable for the health of their patients, ACOs provide financial incentives to those able to successfully save money and meet quality targets. This carrot-and-stick approach is considered a key means of fixing the currently inefficient payment system that rewards quantity, not quality, of care.
Fundamental to a responsible ACO strategy is a data and analytic platform designed to support proactive population health management. From comprehensive performance measurement and actionable care delivery analyses to efficient care management services and cost-effective contract management solutions, Onpoint’s suite of ACO tools empower systems to achieve the kind of timely integration and purposeful reporting necessary to demonstrate patients’ quality of care and programs’ savings and sustainability.
Regional Health Improvement Initiatives
Regional Health Improvement Initiatives are multi-stakeholder, community-focused organizations working both regionally and nationally to transform the healthcare delivery system. Collaborating with providers, provider organizations, commercial and government payers, hospitals and health systems, as well as consumers and employers, these initiatives seek to improve the quality, affordability, and patient experience of healthcare in the communities they serve using robust data and analytic platforms leveraged and shared by community health teams.
Onpoint has supported grassroots efforts inciting quality improvement since our partnership with a Maine-based employer-led collaborative, for which we developed the first-of-its-kind multi-payer claims database in the mid-1990s.
With our independent, nonprofit status, Onpoint’s mission and vision is symbiotic and aligns closely with many regional health improvement initiatives. Paired with our flexible approach, the reliable data and careful analyses we offer these collaboratives yield valuable insights that inform and inspire breakthroughs into how care is delivered across their local communities.
State and federal government agencies are not only often the largest purchasers across markets, but they also take primary lead in those markets’ policymaking roles. Driving transformative, sustainable change requires novel regulatory and market approaches – increasingly, those that recognize high-quality information systems as instruments enabling access to and interpretation of meaningful data.
To assist government agencies in their efforts to reverse some of the key drivers of spending growth and poor health across diverse settings, Onpoint’s end-to-end data services and analytic solutions are designed to identify improvement opportunities in the areas of health area planning, care coordination, and program evaluation. By amassing a variety of disparate data sources to create unified critical resources, the databases we deliver tell a story that encourage informed decision making based on actionable data.
Healthcare purchasers are public (e.g., Medicare, Medicaid) and private (e.g., employers, purchasing cooperatives) sector entities that subsidize, arrange, and contract for the cost of healthcare services received by a group of beneficiaries. With healthcare costs on the rise, purchasers are increasingly questioning the value of expenditures by seeking to measure, monitor, and improve the quality of care beneficiaries receive.
These opportunistic purchasers, collectively known as value-based purchasing (VBP) organizations, therefore need a suite of tools at their fingertips to examine the quality of healthcare, including patient outcomes and health status, with data on the dollar outlays going towards health. Without reinventing the wheel, VBP organizations require high visibility into the cost, quality, and effectiveness of provider networks in order to identify beneficial approaches to hold providers accountable for both cost and quality of care.
Onpoint has supported some of the most progressive purchasing coalitions in the country in their efforts to build such tactical information systems. Helping infer the impact of VBP activities on the health status of patients and populations through measureable and predictive results, we give organizations a lens into both the behavior and decisions of consumers and the performance of healthcare organizations and practitioners in order to eliminate the effect of asymmetric information exchange.
Provider organizations seek to understand and manage clinical and financial risk in an effort to deliver high-quality care in a cost-efficient fashion. Their endeavor is characterized best by a desire for alignment between the cost and quality of services delivered to a defined population, a sense of shared responsibility for the long-term success and reputation of the organization, and a commitment to performance measurement transparency and performance improvement.
Success under innovative payment models designed to achieve these objectives, such as Medicare Shared Savings Programs and bundled payment initiatives, require timely population-based databases that turn disconnected data into meaningful information. To assist in managing population health, the follow-on reporting derived from those critical information resources employ only the most contemporary analytic methods, measures, and tools.