Healthcare costs in the United States have risen dramatically, yet outcomes remain poor, prompting states to explore data-driven solutions like All-Payers Claims Databases (APCDs). To gain transparency into the cost of care drivers, assess population health needs, and evaluate health system reform policies that have the greatest likelihood of success, states have implemented large data repositories called All-Payers Claims Databases (APCDs) and use this data to inform data-driven, evidence-based policy decisions.‍ APCDs collect medical, pharmacy, and dental claims data from public and private insurers to improve healthcare transparency, evaluate pricing, and support policy decisions. Nevada’s APCD, established through Senate Bill 40 in 2021, mandates data reporting to the state’s Patient Protection Commission, the Department of Health and Human Services (DHHS), and the Attorney General’s Office.

Nevada’s APCD implementation aligns with national trends, leveraging federal funding and lessons from other states. This policy brief examines drivers for successful implementation, including effective governance, secure data stewardship, and sustainable funding. At its best, the database can be used by policymakers to guide reforms, ensure price transparency, and improve healthcare quality. Future considerations could include expanding data access, addressing gaps in data collection due to excluded payers, and ensuring long-term financial and operational support for the APCD.