What to Expect with Claims Data

A previous query defined the different nuances encompassed under the term “data quality” to help shed light on the myriad factors that can impact the output from the Colorado All Payer Claims Database (CO APCD). This piece will outline some baseline expectations for users who are new to claims data. Claims Data Read more

By Stephanie Spriggs, ago

Defining Data Quality in the CO APCD

Claims data is very different than other types of data typically encountered by actuaries, accountants, analysts, and researchers. If not prepared for the unique challenges it presents, it is easy to conclude that something is wrong with a data set. The phrase “data quality” is frequently used as a catch-all Read more

Commercial Data in the CO APCD

The Colorado All Payer Claims Database (CO APCD) contains over 1.1 billion claims, with more added every month. These claims are 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 APCD Read more

By Stephanie Spriggs, ago

Medicaid Data in the CO APCD

The Colorado All Payer Claims Database (CO APCD) contains over 1.1 billion claims, with more added every month. These claims are 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 APCD Read more

By Stephanie Spriggs, ago

Data Security and the CO APCD

When designing how the Colorado All Payer Claims Database (CO APCD) was to be built and administered, protecting health information was the highest priority. Colorado statute CRS 25.5-1-204 requires the CO APCD to “[p]rotect patient privacy in compliance with state and federal medical privacy laws while preserving the ability to analyze data Read more

By Stephanie Spriggs, ago