Non-Claims Data in the CO APCD

Non-Claims Data in the CO APCD The Colorado All Payer Claims Database (CO APCD) contains medical, dental, vision, and pharmacy claims from the majority of insured individuals in the state. However, claims data highlights only a portion of how the health care system functions. There are numerous other non-claims components Read more

By CIVHC, 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

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

By CIVHC, ago

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

New Telehealth Data Identifies Barriers to Access

New Telehealth Data Identifies Barriers to Access Providing health care services remotely through telehealth has the potential to improve access to care and advance health equity, especially for patients in rural and under-resourced communities. The Office of eHealth Innovation (OeHI) and the Center for Improving Value in Health Care (CIVHC) Read more

By Spencer Fortier, ago

New Quality and Prevention Infographic Shows Positive Movement and Additional Opportunities for Improvement

A new infographic featuring Health Care Quality and Prevention insights from the Community Dashboard shows that statewide, more Coloradans are getting the care they need to stay healthy compared to previous years. While improvements have been made, areas of opportunity still exist, especially with cancer screening rates and primary care Read more

By Spencer Fortier, ago

Ask the Analyst: Valerie Garrison on Analysis of Telehealth Denied Claims

Analyst: Valerie Garrison, MES, Evaluation Analyst, CIVHC Project Name: Telehealth vs. In-Person Services Payment Parity in Colorado, 2020-2021: Analysis of Telehealth Denied Claims Project Purpose (in one sentence, what high-level question was this analysis trying to answer?): Colorado’s Office of eHealth Innovation (OeHI) wanted to know whether claims for telehealth Read more

By Spencer Fortier, ago