Colorado
Category
Title or Name of APCD System
  • Colorado All Payer Claims Database
Who Maintains the System
  • Center for Improving Value in Health Care (CIVHC)
Website
Legal Authority
Investment
  • $3.8 million annual operating budget
Statute
Submission Rules
Release Policy
First Year APCD Collected Data
  • 2012
APCD Snapshot
  • In 2010, HB 10-1330 passed creating the state-mandated CO APCD. The bill was passed without state appropriated funding attached to the bill. Colorado’s Medicaid agency, the Department of Health Care Policy and Financing (HCPF), named the non-profit Center for Improving Value in Health Care (CIVHC), administrator of the CO APCD. CIVHC received private grant funding for CO APCD planning and implementation from The Colorado Trust and the Colorado Health Foundation. The HCPF-appointed CO APCD Advisory Committee helped CIVHC develop policies and procedures for implementation and the initial public reporting framework. In early 2012, data management vendor Treo Solutions (now 3M) began collecting and processing three years of historic claims information from Medicaid and the largest volume commercial payers. In November 2012, CIVHC launched the first interactive reports on the CO APCD public website, and in January 2013, CIVHC began releasing custom data requests through their HIPAA/HITECH-compliant data release process. In July 2017, CIVHC transitioned to new data warehouse and analytic partners, HSRI and NORC. The CO APCD now contains over 500 million claims from Medicaid, Medicare, Medicare Advantage and the 21 largest commercial health plans, representing over 80% (4+ million) insured Coloradans.
Number of Commercial Sources of Claims Data
  • 33
Covered Lives
  • 4.3 million unique lives (as of May 2018)
Sources and Status of APCD Data Collection
Payers
Commercial Payers
  • Currently Collected
Third Party Administrators/Self-Funded
  • Currently Collected
Medicaid
  • Currently Collected
Medicare
  • Currently Collected
Other
  • Medicare FFS and Medicare Advantage
Types of Data Collected 
Medical Claims
  • Currently Collected
Eligibility
  • Currently Collected
Dental
  • Currently Collected
Pharmacy
  • Currently Collected
Primary Users/Uses
  • Consumers, State Agencies, Researchers & Academic Institutions, Hospitals, Providers, Government Officials & Legislators, Employers and Health Plan Brokers, Non-profits, and Digital Healthcare companies.
Consumer Website
Related APCD Activity

  • Public reporting (website interactive facility price & quality, and population health total cost, utilization, chronic conditions, and appropriate care; spot analysis, data bytes, white papers and annual reports); Custom data provided through data release review committee to stakeholders advancing the Triple Aim (researchers, non-profits, payers, providers, employers, etc.).

Contact Information

Use Cases from the APCD Showcase

Displaying 1 - 5 of 79

Use Cases Category Carriers
Identifying Diabetic Ketoacidosis Encounters at Diagnosis Among Children with Type 1 Diabetes in Claims Data
This study found that children newly diagnosed with type 1 diabetes who presented with diabetic ketoacidosis (DKA) experienced significantly greater healthcare utilization than those without DKA, including more inpatient admissions and longer hospital stays. Even after adjusting for demographic and clinical factors, DKA at diagnosis remained associated with substantially higher healthcare resource use, highlighting the clinical and economic burden of delayed diagnosis. The findings suggest that earlier detection of type 1 diabetes could help reduce severe complications and healthcare costs.
 Population Health, Providers Commercial, Medicaid
Perinatal Care Utilization and Health Equity: Success and Ongoing Challenges From Colorado
This study examined perinatal care utilization in Colorado and found that Black birthing people attended more prenatal and pregnancy-related visits than White birthing people, particularly during the first and second trimesters. However, Black birthing people had lower postpartum care utilization overall, with the largest disparities occurring in rural areas. The findings highlight the need to improve continuity of postpartum care and address inequities across the maternal care continuum.
 Consumers, Health Reform, Population Health Commercial, Medicaid
Identifying Diabetic Ketoacidosis Encounters at Diagnosis Among Children with Type 1 Diabetes in Claims Data
This study found that children newly diagnosed with type 1 diabetes who presented with diabetic ketoacidosis (DKA) experienced significantly greater healthcare utilization than those without DKA, including more inpatient admissions and longer hospital stays. Even after adjusting for demographic and clinical factors, DKA at diagnosis remained associated with substantially higher healthcare resource use, highlighting the clinical and economic burden of delayed diagnosis. The findings suggest that earlier detection of type 1 diabetes could help reduce severe complications and healthcare costs.
 Population Health, Providers Commercial, Medicaid
Leveraging Population-Level and Multipayer Claims Data to Estimate Changes in Prostate Cancer Screening at the Small-Area Level
This case study uses the Colorado's All-Payer Claims Database (CO APCD) to measure prostate screening procedures in men ages 55-69, finding that while screening rates increased across all payers, the gains were smaller in geographically defined areas with higher social deprivation levels.
 Population Health, Researchers Commercial, Medicaid, Medicare
Kidney Screening Care Coverage Analysis
The report supports preventive kidney screening coverage as a cost-effective public health strategy that could improve early diagnosis, reduce severe kidney complications, and lower long-term healthcare costs in Colorado. It frames the proposal as a preventive-care investment rather than a major insurance cost expansion.
 Health Reform, Insurance Department, Population Health Commercial