Non-Claims Data in the CO APCD The Colorado All Payer Claims Database (CO APCD) contains medical, dental, vision, and pharmacy claims from the majority of insured individuals in the state. However, claims data highlights only a portion of how the health care system functions. There are numerous other non-claims components Read more
The Colorado All Payer Claims Database (CO APCD) contains medical, pharmacy, vision, and dental claims from the majority of insured individuals in the state and collects non-claims data on additional components that impact individual health and cost of care. However, collecting all this data is only the beginning for those Read more
It is estimated that 80% of a person’s health outcomes are related to social factors outside of their control. These social determinants of health are the nonmedical factors that influence a person’s health, including the conditions in which they are born, live, work, and age. In 2021, CIVHC took a big step to enhance the Read more
Center for Improving Value in Health Care (CIVHC) is excited to announce the appointment of Matthew Ullrich as Vice President of Legal and Compliance, General Counsel and member of CIVHC’s Executive Leadership Team. In his new role, Matt will lead CIVHC’s Legal and Compliance team, oversee legal affairs and support Read more
The Colorado All Payer Claims Database (CO APCD) contains over 1.1 billion claims, representing over 5 million insured lives in Colorado, with more added every month. Of these claims, there are over 75 million behavioral health claims contained in the CO APCD, representing over 10 million unique Coloradans who have Read more
As discussed in a previous Query, CIVHC releases data from the Colorado All Payer Claims Database (CO APCD) in two ways: Non-public releases, for individuals or organizations to use to improve care for Coloradans Public data, for anyone to use to help make data-driven health decisions A different query addressed the process required Read more
A first of its kind analysis on ambulance service costs in Colorado is now available, delivering valuable insights into cost trends, in-and out-of-network claims, and geographic variation. Leveraging the CO APCD, this report sheds light on costs affecting patients and health insurance payers and informs policy discussions aimed at enhancing emergency Read more
Protecting health information is the highest priority for Center for Improving Value in Health Care, administrator of the Colorado All Payer Claims Database (CO APCD). Colorado statute CRS 25.5-1-204 requires the administrator of the CO APCD to “[p]rotect patient privacy in compliance with state and federal medical privacy laws while preserving the Read more
As of June 2023, the Colorado All Payer Claims Database (CO APCD) contained over one billion claims spanning 2013 through 2022. These claims were submitted by commercial health insurance plans, including Medicare Advantage, voluntarily submitted Employee Retirement Income Security Act (ERISA) and mandated non-ERISA self-insured employer plans, Medicaid, and Medicare Fee-for-Service (FFS). The CO Read more
Having a baby is expensive across the United States; the Peterson-Kaiser Family Foundation Health System Tracker finds the national average cost of giving birth is $18,865, with an average of $2,854 paid out of pocket after insurance (including both vaginal and cesarean deliveries). This data dive looks at the cost Read more