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 51 - 55 of 79

Use Cases Category Carriers
Colorado Telehealth Services Analysis
Use of telehealth services was rising before the onset of the novel coronavirus pandemic. From January 2018 to February 2020, telehealth utilization visits per 1,000 members increased from 57 to 75.9 (33%) for commercial, 28.9 to 55.1 (91%) for Medicaid and 125.7 to 142 (13%) for Medicare Advantage members. 
 Consumers, Population Health Commercial, Medicaid
Coloradans Accessed Telehealth Services More In March and April 2020 than 2018-2019 Combined
The Center for Improving Value in Health Care (CIVHC), using data from the Colorado All Payer Claims Database (CO APCD) updated the Telehealth Services Utilization analysis available on civhc.org. The updated tool shows how use of telehealth in the first two months of the COVID-19 pandemic nearly doubled when compared to the twenty-five months prior.
 Consumers, Population Health Commercial, Medicaid
Colon Cancer Screening and Colonoscopy Billing
This analysis helps to answer, of the people who have a fecal screener: 1. How many insured lives in Colorado have a colonoscopy within a year?, and, 2. How many of those who have a colonoscopy pay a co-pay or co-insurance?
 Consumers, Health Reform, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid, Medicare
Nurse Midwife Payment Evaluation
The Nurse Midwife Payment Evaluation data set provides payment comparisons for common procedures provided by Nurse Midwives, OB/GYNs, Primary Care Providers, Nurse Practitioners and Physician Assistants for Colorado.
 Consumers, Insurance Department, Medicaid, Researchers Commercial, Medicaid, Medicare
End Stage Renal Disease and Dialysis Dependence
The Utah Department of Health, Office of Health Care Statistics (OHCS) produced this report at the request and under the direction of the Transparency Advisory Group (TAG). The TAG is a subcommittee of the Utah Health Data Committee (HDC). This report identifies differences in costs between certain facilities as well as the variation that can exist within a health care provider.
 Consumers, Insurance Department, Medicaid, Providers, Researchers Commercial, Medicaid, Medicare