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 66 - 70 of 79

Use Cases Category Carriers
CO Prescription Drug Spending and the Impact of Drug Rebates
In 2019, health insurance payers submitted drug rebate and concession information for 2016, 2017 and 2018 to the CO APCD for the first time. This drug rebate analysis is the first in Colorado to provide prescription drug spending and rebate information across Medicaid, Medicare fee-for-service and Medicare Advantage, and commercial health insurance payers.
 Consumers, Researchers Commercial, Medicaid, Medicare
Regional Price Variation for Common Procedures
These maps illustrate regional variation for 11 common services. This information can help communities understand how their health care prices compare to other areas across the state. Access the interactive maps and search facility-specific prices at: www.civhc.org/shop-for-care/.
 Consumers, Researchers
Common Procedure Episode Price Breakdown
Facility price and quality information available at civhc.org provides total price information for high cost, high volume procedures. This infographic shows what percentage of the price is typically paid to the facility where the procedure takes place.
 Consumers
Imaging Services Price Variation
Data is based on 2017 claims submitted by commercial health insurance payers to the Colorado All Payer Claims Database. Dollar amounts reflect median facility payments only and do not include any professional or ancillary fees that may be associated with the service.
 Consumers Commercial
State Innovation Model Proxy Measure: Breast Cancer Screening
Using nationally accepted specifications, methodologies were established using health insurance claims across Medicare, Medicaid and commercial payers in the CO APCD to create claims-based quality measures.
 Consumers, Population Health, Providers, Researchers Commercial, Medicaid, Medicare