DPC Header depicting doctors and a patient standing around a table. Next to the group is a sign that reads: a 360 degree view of your patients' claims history. A checklist with all of the following checked off: New diagnoses, medications, completed procedures, preventative care, external encounters.
As patients move throughout the healthcare system, providers often struggle to gain and maintain a complete picture of their patients’ medical history. Data at the Point of Care (DPC) aims to fill these gaps in care with Medicare Fee-For-Service claims data to inform providers with secure, structured, and standardized data for improved quality of beneficiary care.
  • Get More Data

    Learn about new diagnoses, medications, completed procedures, and preventive items on your patients' visits to other clinics, including urgent care, hospitals, and ER visits.
  • Manage Less Paperwork

    Facilitate seamless transitions of care across provider teams by sharing a fuller picture of the patient's care.
  • Improve quality of Care

    Spend less time tracking down patient records or relying on the patient's memory for their medical history. Spend more time delivering better care and addressing patient needs during the visit.
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Icon of a calendar with a date checked off.

Wellness Checks

A 68 year old Medicare beneficiary Maria recalls getting the first dose of her shingles vaccine at her local pharmacy earlier this year, but she can't quite remember when she went. Her provider uses data from DPC to see when Maria got her shot, and if she's ready for her second dose.

Population Analytics

Diabetes Care Coordinator Elena manages the care of dozens of patients with chronic conditions. She uses DPC data to stay informed and perform analytics on recent clinic visits, hospital admissions, procedures, and medication refills for her entire population of patients.

About the DPC Pilot

The DPC Pilot starts with Health IT implementers, who are asked to test and develop a solution with the DPC API using synthetic data in the sandbox environment before applying for access to Medicare Fee-For-Service claims data in production. The DPC sandbox and production environments are subject to breaking changes throughout the pilot phase as DPC incorporates research findings and user feedback.
The DPC API leverages the industry-standard HL7 Fast Healthcare Interoperability Resources (FHIR), which allows providers and integrators to incorporate Medicare claims data into the Health IT software and clinical workflow. This allows a timely and standardized reference of data that is accessible to all who are involved in a beneficiary’s care.

Interested in learning more About the DPC Pilot?

How can I get my healthcare organization involved?

Providers at healthcare organizations can get involved by using the Provider resources below. In order to receive claims data for your Medicare beneficiaries, the DPC API requires a partnership between providers and their Health IT team to develop and design a solution that seamlessly integrates with your Health IT software. This capability empowers providers to request claims data directly through the Health IT software and gain insight into patient records within the existing workflows utilized at the point of care.

DPC One-Pager

Other CMS FHIR-based APIs

DPC is one of several CMS APIs that offer Medicare claims data sharing in FHIR format.

Check out these other CMS APIs for more information:
BCDA serves ACOs participating in the Medicare Shared Savings Program and other eligible CMS Alternative Payment Models.
Blue Button 2.0 API enables Medicare beneficiaries to connect their data through applications, services, and research programs they trust.
AB2D Logo that reads a AB2D where the 2 is one half of a heart.
The AB2D API provides stand-alone Prescription Drug Plan (PDP) sponsors with claims data to enhance the use of medications and improve long term health of beneficiaries.