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 41 - 45 of 79

Use Cases Category Carriers
Data Byte: Subsys Prescription Trends in Colorado 2012-2016
Colorado's Center for Improving Value in Healthcare (CIVHC) examined trends in Subsys prescription practices from 2012-2016 using commercial and Medicaid data from Colorado's All Payer Claims Database (APCD).
 Consumers, Insurance Department, Medicaid, Population Health, Providers, Researchers Commercial, Medicaid
Spot Analysis: Prescribing Opioids in Colorado
To understand patterns in opioid days supply being prescribed and filled in Colorado, the Center for Improving Value in Health Care (CIVHC) used data from the Colorado All Payer Claims Database (CO APCD) to evaluate trends for short-acting versions of three commonly prescribed opioids: Oxycodone, Percocet, and Vicodin.
 Population Health, Researchers Commercial, Medicaid, Medicare
Data Byte: In/Out of Network Costs
Median In and Out of Network Commercial Professional Fee Paid amounts for laparoscopic appendectomy, laparoscopic cholecystectomy and small intestine resection.
 Insurance Department, Population Health, Researchers Commercial
CO APCD Data Byte: Firearm Injury Trends and Costs in Colorado
This Data Byte evaluates the impact of firearm injuries in Colorado in terms of volume and types of claims and the associated cost to the health care system. Trend information is also available and shows that Colorado has had a significant increase since 2012 in both the volume of claims and associated costs related to firearm injuries.
 Population Health, Researchers Commercial, Medicaid, Medicare
Cancer Prevalence in Colorado
Overview of cancer prevalence rates across all different payers. Breast cancer is the cancer with the highest prevalence followed by cervical cancer. The population covered by Medicare Advantage has the highest prevalence of all cancers reported.
 Medicaid, Population Health, Researchers Commercial, Medicaid, Medicare