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
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
Contact Information
For more information please contact info@civhc.org.
Use Cases from the APCD Showcase
Displaying 6 - 10 of 79
| Use Cases | Category | Carriers | |
|---|---|---|---|
The study examines how changes in prescription medication use during the COVID-19 pandemic can reveal strengths and weaknesses in the healthcare system. The goal is to use these patterns to improve preparedness for future public health emergencies. |
Population Health | Commercial, Medicaid, Medicare | |
This case study examined the relationship between county-level medical debt and timely cancer treatment initiation, finding that patients in counties with higher medical debt were more likely to experience delays in starting cancer care. The authors concluded that financial burden at the community level — not just the individual level — plays a meaningful role in cancer care disparities. They suggest that policies aimed at reducing medical debt could be an effective lever for improving timely access to treatment for newly diagnosed cancer patients. |
Health Reform, Population Health, Providers | Commercial, Medicaid, Medicare | |
This case study uses Colorado APCD data to evaluate the state's 2014 Medicaid reimbursement policy for postpartum depression screening during well-child visits, finding that it increased billed screening rates by nearly 10 percentage points and modestly raised diagnoses and outpatient mental health treatment among Medicaid mothers — though screening reached only about one-third of births by study's end. The authors conclude that financial incentives alone are insufficient and must be paired with provider training, referral support, and expanded mental health access. |
Medicaid | Commercial, Medicaid | |
This case study uses Colorado APCD data to examine a 2017 insurer-physician acquisition, finding that integration inflated Medicare Advantage diagnosis-based payments by $1,000–$1,800 per patient annually without corresponding treatment increases, while steering commercial patients toward cheaper specialists. The authors conclude that integration creates a cross-market tradeoff and that pay-per-patient contracts can replicate the coding effect, making merger-focused antitrust policy insufficient on its own. |
Health Reform, Insurance Department, Researchers | Commercial, Medicare | |
This case study uses Colorado APCD data to examine insurance gaps at the age-19 Medicaid and age-26 commercial coverage cutoffs, finding that roughly 9% of young adults lose coverage around each birthday — with those transitioning off commercial plans faring worse than Medicaid recipients — and calling for targeted policy attention to these predictable transition points. |
Consumers, Health Reform, Medicaid, Population Health, Providers | Commercial, Medicaid |