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 71 - 75 of 79
| Use Cases | Category | Carriers | |
|---|---|---|---|
Variation in prices for common health care services Colorado All Payer Claims Database Episode-based procedures. |
Consumers, Population Health, Researchers | Commercial | |
Data reflects claims received from commercial health insurance payers for Emergency Department visits (defined by inclusion of one of the five codes) contained in the Colorado All Payer Claims Database from 2009-2016. Commercial claims in the CO APCD represent large group, small group, and individual claims for all years and some self-insured data in 2015 and 2016. |
Researchers | Commercial, Medicaid, Medicare | |
This analysis provides allowed amounts (paid amounts) for pharmacy and medical care by Colorado legislative district. These data are based on 2017 and 2018 claims submitted to the Colorado All Payer Claims Database (CO APCD) by Commercial payers, Medicare Advantage and Medicaid. |
Researchers | Commercial, Medicaid, Medicare | |
This report provides the volume and allowed amounts for behavioral health claims (including substance use disorder claims), and separate volume and allowed amounts for substance use disorder claims in the Colorado All Payer Claims Database (CO APCD), from 2017-2019. |
Population Health | Commercial, Medicaid, Medicare | |
A study from Colorado linking ACPD and Cancer registry claims |
Population Health, Providers, Researchers | Commercial, Medicaid, Medicare |