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 36 - 40 of 79

Use Cases Category Carriers
Cancer Prevalence in Colorado
CIVHC has produced a fifth infographic around cancer prevalence in Colorado sourced from their interactive statewide Condition Prevalence report. The info graphic highlights notable cancer-specific trends and opportunities in Colorado.
 Consumers, Insurance Department, Population Health, Providers, Researchers Commercial, Medicaid, Medicare
Chronic Conditions in CO
Colorado's Center for Improving Value in Healthcare (CIVHC) examines the distribution of certain chronic conditions across the state. This publication assesses these chronic conditions in terms of geography, payer type, gender, and age. Trends in disease prevalence across time are also discussed. CIVHC accessed 2012-2015 data from the Colorado All-Payer Claims Database (APCD) for this report.
 Consumers, Employers, Population Health, Providers, Researchers Commercial, Medicaid, Medicare
2017 CO APCD Annual Report: Charting the Health Care System in Colorado
The Center for Improving Value in Health Care (CIVHC) All-Payer Claim Database (APCD) Colorado 2017 Annual Report highlights the research and progress the state has made toward achieving the triple aim of better health, better care, and lower costs. CIVHC surveyed health care costs, utilization, quality, and chronic conditions in Colorado using data from the APCD that represents the majority of Coloradans covered through Medicare, Medicaid, or commercial insurance.
 Consumers, Employers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid, Medicare
Utilization in Colorado
Colorado's Center for Improving Value in Healthcare (CIVHC) synthesized data from the All Payer Claims Database (APCD) to map trends in utilization across Colorado from 2012-2015. CIVHC captures data from commercial, Medicaid, and Medicare Advantage patients concerning unplanned hospitalizations, 30-day readmission rates, emergency room visits, and observations stays.
 Consumers, Health Reform, Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid, Medicare
CO Data Byte: Intraoperative Neuromonitoring
The Center for Improving Value in Healthcare (CIVHC) assessed the cost and utilization rates for intraoperative neuromonitoring using Colorado All-Payer Claims Database (APCD) data from 2013-2016. Differences in utilization and median claim payment differ among commercial, Medicaid, and Medicare payers.
 Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid, Medicare