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 56 - 60 of 79

Use Cases Category Carriers
Determinants Associated With Longitudinal Adherence to Annual Lung Cancer Screening: A Retrospective Analysis of Claims Data
This investigation was undertaken to assess links between lung cancer screening (LCS) annual adherence and demographic, comorbidity, health care usage, and geographic factors, by using insurance claims data in Colorado.
 Population Health, Providers, Researchers Commercial, Medicaid, Medicare
State Innovation Model (SIM) Proxy Measure: Asthma
Colorado's State Innovation Model (SIM) seeks to measure and improve care for Coloradans living with chronic asthma. Relying on Colorado all-payer claims database (APCD) data, the Center for Improving Value in Healthcare (CIVIC) examined the number of Coloradans filling their asthma prescriptions each year comparing statewide rates to rates among SIM providers.
 Consumers, Population Health, Providers, Researchers Commercial
State Innovation Model (SIM) Proxy Measure: Hypertension
The Center For Improving Value in Health Care (CIVHC) analyzed hypertension in adults across the nation, with a special focus on those in Colorado. The report stresses the importance that public health agencies play in providing outreach and targeted interventions surrounding hypertension management.
 Consumers, Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid, Medicare
State Innovation Model (SIM) Proxy Measure: Diabetes
The Center For Improving Value in Health Care (CIVHC) analyzed diabetes in adults aged 18-75 across the nation with a special focus on those in Colorado.
 Consumers, Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid, Medicare
COVID-19 Testing Price Variation
This dataset explores price variation for COVID-19 testing based on where Coloradans received the test in terms of setting (ER, Outpatient facility, or Provider Administered), and by region across the state (DOI and rural vs. urban counties).
 Population Health