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 61 - 65 of 79
| Use Cases | Category | Carriers | |
|---|---|---|---|
The CO APCD contains dental claims submitted by payers who provide coverage in Colorado. This report identifies the top 300 dental procedures by volume from 2012-2020 that are available in the CO APCD database. |
Insurance Department | Commercial | |
Two fields - Race and Hispanic Indicator - became required for payers to submit to the CO APCD in September 2019. This file describes the state of data collection and capture of required and voluntary race and ethnicity information in the CO APCD. |
Consumers, Health Reform, Population Health | ||
This report includes summary tables of two quality measures based on nationally endorsed specifications and used by national and state-sponsored programs: One preventive care measure (Breast Cancer Screening), and one measure of appropriate treatment (Diabetes A1c testing). for the state of Colorado and for Urban and Rural regions. |
Consumers | Commercial, Medicaid, Medicare | |
This analysis based on paid amounts and utilization of services in the Colorado All Payer Claims Database (CO ACPD) provides a summary of payments for elective procedures for commercially-insured members for each of the first six months of 2018 and 2019. |
Consumers, Researchers | ||
This report summarizes results for 48 measures of low value care evaluated from 2015 through 2017 for 4.1M insured Coloradans (over 70% of insured lives) covered by commercial health insurance, Medicaid, Medicare Advantage, and Medicaid Fee-for-Service (FFS). |
Consumers, Researchers | Commercial, Medicaid, Medicare |