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
The Center for Improving Value in Health Care (CIVHC) unveiled a newly enhanced version of its Colorado All Payer Claims Database (CO APCD) Insights Dashboard, featuring major usability and design upgrades focused on accessibility and expanded functionality. The new dashboard is available now at civhc.org. This interactive dashboard allows users 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
As discussed in a previous Query, individuals or organizations can request non-public data releases from the Colorado All Payer Claims Database (CO APCD) to help answer questions or solve problems around health and health care in Colorado. Today, we continue exploring the steps requestors must take to apply for a Read more
Once payer-submitted data has successfully passed the extensive initial validation and quality tests performed by CIVHC and data manager Human Services Research Institute (HSRI) and NORC at the University of Chicago, the data are ready to be ingested into the warehouse. Previous queries have detailed the process for the monthly submission and intake 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. Today, we are exploring how Read more
In recent years, health care price transparency tools have become increasingly popular as more states begin to prioritize cost transparency initiatives. Legislation mandating health care price transparency has passed at the state and federal levels in an effort to empower consumers with understandable, actionable information on health care costs. However, while Read more
As administrator of the Colorado All Payer Claims Database (CO APCD), CIVHC is required by statute not only to maintain the database, but to continually improve the quality and utility of the CO APCD. One of the most essential activities to enhancing the CO APCD is annually updating the CO APCD Rule and Data Submission Read more
In fiscal year 2023-2024, CIVHC’s Data Operations team implemented a new project management process, PhaseGate, to ensure projects moving through CIVHC’s teams are successful. The process divides development into distinct stages, or phases, separated by decision points, known as gates. The PhaseGate process is effective because it helps teams break 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