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…
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…
There is a staggering array of information in the Colorado All Payer Claims Database (CO APCD). So much information that it can be difficult to keep track of the different types and their various combinations, much less their infinite applications. The CO APCD Insights Dashboard shows us that, as of Read more…
In the fall of 2022, Center for Improving Value in Health Care (CIVHC) implemented a new Submitter Quality Index (SQI), a benchmark step in CIVHC’s overall workplan to continually improve data completeness and accuracy. The SQI is a tool that helps CIVHC assess the quality of data submitted to the 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 enhancement of the CO APCD is the annual updating Read more…
Each month health insurance payers submit millions of medical, professional, pharmacy, and dental claims for inclusion in the Colorado All Payer Claims Database (CO APCD). Work to ensure that this data coming into the CO APCD is the most credible and highest quality begins before the files are sent. CIVHC Read more…
Part of being a good steward is ensuring that your charge thrives under your guidance. To this end, Center for Improving Value in Health Care (CIVHC) is continually working to improve the quality and utility of the Colorado All Payer Claims Database (CO APCD). One of the most substantial activities Read more…
The Colorado All Payer Claims Database (CO APCD) contains medical, dental, and pharmacy claims from the majority of insured individuals in the state. However, claims data only shows a portion of how the health care system functions. There are numerous other components within the system that impact an individual’s health Read more…