17 Colorado All Payer Claims Database (CO APCD)

17.1 Organization

Center for Improving Value in Health Care

17.3 Description

  • Comprehensive database comprising medical, dental, and pharmacy claims from various payers.
  • Captures longitudinal care information on individual and spans diverse care settings.
  • Contains demographic, diagnostic, procedural & reimbursement information (total charges, plan paid, and patient responsibility).
  • Useful for policy, research, clinical and health system performance, evaluation, population health management, system redesign, payment reform, and more.

17.4 Vintage/Release Frequency

2013 - present (1-2 years lag)

17.5 Observational Unit

Claim event

17.6 Collection Methodology

  • Over 1 billion claims from 40 commercial payers + Medicare & Medicaid (FFS/Advantage)
  • Covers about 70% of Covered Lives in Colorado (medical only)

17.8 User Guide/Data Dictionary

https://civhc.org/get-data/whats-in-the-co-apcd/

17.9 Cost

17.10 Proposal or Application required?

Yes

17.11 DUA required?

Yes

17.12 Special Notes

  • Both public-use data and licensed data available
  • Does not include Federal Programs (VA, Tricare, Indian Health Services), majority of ERISA-based self-insured empolyers, uninsured and self-pay claims