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 31 - 35 of 79

Use Cases Category Carriers
Interactive Condition Prevalence Report
Colorado's Center for Improving Value in Healthcare (CIVHC) created an interactive report profiling 11 chronic conditions common to Coloradans. The prevalence report allows users to view the distribution of disease by age, gender, geography, payer, and time. The aim of this publication is to identify variation in disease distribution to encourage targeted intervention.
 Consumers, Employers, Insurance Department, Population Health, Providers, Researchers Commercial, Medicaid, Medicare
Total Cost of Care Multi-State Analysis
To target the high health care expenditures and utilization The Center for Improving Value in Health Care (CIVHC) reported on Colorado's healthcare services compared to four other states: Maryland, Utah, Minnesota, and Oregon. They compared the trends of outpatient, inpatient, professional and pharmacy from 2012-2015 by using the All-Payer Claims Database (APCD).
 Consumers, Health Reform, Insurance Department, Providers, Researchers Commercial, Medicaid, Medicare
Reference-Based Inpatient and Outpatient Payment Reference-Based Inpatient and Outpatient Payment Analysis: Reducing Payment Variation as a Potential Cost-Savings Analysis: Reducing Payment Variation as a Potential Cost-Savings Mechanism
A new analysis using data from the Colorado All-Payer Claims Database (CO APCD) shows millions in potential savings for Coloradans with commercial health insurance by using Medicare and average commercial payments as a baseline. Reducing variation using similar reference-based pricing models has proven effective in other states and this study shows Colorado could benefit as well.
 Health Reform Commercial, Medicare
CIVHC Shop for Care Tool
The Center for Improving Value in Health Care (CIVHC) has created an online shopping tool based on information in the Colorado All Payer Claims Database (CO APCD). The “Shop for Care” tool helps consumers across the state locate facilities with the lowest price and best patient experience ratings, and supports reducing health care spending. Information available through the tool includes prices for new x-ray imaging services and updates to currently available services like CT scans and MRIs.
 Consumers Commercial
Colorado APCD Annual Report 2018: Celebrating Five Years of Creating Knowledge
The CO APCD contains claims for approximately three quarters of the covered lives in Colorado, with claims from 39
commercial health insurance plans, including Medicare Advantage and voluntarily submitted self-insured employer plans,
plus Medicaid and Medicare Fee-for-Service (FFS) claims.
 Consumers, Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid, Medicare