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…
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…
For Breast Cancer Awareness Month, we are using the Center for Improving Value in Health Care’s (CIVHC) Community Dashboard, powered by data from the Colorado All Payer Claims Database (CO APCD), to look at breast cancer screening rates in Colorado. Breast cancer is one of the most common types of Read more…
With a resource the size of the Colorado All Payer Claims Database (CO APCD), it is easy to presume that the possibilities for exploration are endless. In some senses, it is true that comprehending the potential combinations of data elements from over one billion claims is nearly impossible. However, the scale of Read more…
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…
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…
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…
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 contents of an output from the Colorado All Payer Claims Database (CO APCD). This piece will outline some baseline expectations for users who are new to claims Read more…