In-Warehouse Quality Checks and Data Processing

Once payer-submitted data has successfully passed the extensive initial validation and quality tests performed by CIVHC and data manager, the data are ready to be ingested into the warehouse. Previous queries have detailed the process for the monthly submission and intake of claims data to the Colorado All Payer Claims Database (CO APCD). This Read more

By Sarah Ford, ago
Link to infographic describing phasegate steps

Phasegate

In fiscal year 2023-2024, CIVHC’s Data Solutions 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 larger, complex projects Read more

By Sarah Ford, ago
Line chart illustrating the number of Medicare Advantage payers included in the Colorado All Payer Claims Database (CO APCD) from 2013 to 2023. The chart shows a starting count of 10 payers in 2013, a dip to 9 in 2014, followed by an increase to 12 payers in 2020 and 2022, before declining to 10 payers again in 2023. This visual highlights changes in Medicare Advantage payer participation over the years.

Medicare Data in the CO APCD

Medicare Data in the CO APCD The Colorado All Payer Claims Database (CO APCD) contains over 1.3 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 Read more

By CIVHC, ago

Medicaid Data in the CO APCD

The Colorado All Payer Claims Database (CO APCD) contains over 1.3 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 CIVHC, 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 and share Read more

By Stephanie Spriggs, ago