Commercial Data in the CO APCD

As of June 2023, the Colorado All Payer Claims Database (CO APCD) contained over 1 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…

Medicaid Data in the CO APCD

As of June 2023, the Colorado All Payer Claims Database (CO APCD) contained over one billion claims spanning 2013 through 2021. 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…

Commercial Health Insurance Companies in Colorado Pay Double What Medicare Pays, but Trends are Improving Statewide

The Center for Improving Value in Health Care (CIVHC) released a new health care payment comparison tool showing how much commercial health insurers pay hospitals and Ambulatory Surgery Centers (ASCs) compared to Medicare payments. The analysis reveals that while commercial insurers still pay hospitals two to six times Medicare rates, Read more…