Case Studies

Resource	Category	Carriers	Purpose
Anesthesiology, Radiology, and Emergency Physician Payments The CO APCD contains dental claims submitted by payers who provide coverage in Colorado. This report identifies the top 300 dental procedures by… State: Colorado	Insurance Department	Commercial	Cost
Top 300 Dental Procedures by Volume in the CO APCD The CO APCD contains dental claims submitted by payers who provide coverage in Colorado. This report identifies the top 300 dental procedures by… State: Colorado	Consumers		Utilization
Race and Ethnicity Data in the CO APCD Two fields - Race and Hispanic Indicator - became required for payers to submit to the CO APCD in September 2019. This file describes the state of… State: Colorado	Consumers, Health Reform, Population Health		Cost, Quality, Utilization
Top 100 Brand and Generic Commercial Prescription Drugs This analysis provides information on the top 100 generic and top 100 brand commercial prescription drugs from 2019 based on highest spend (total… State: Colorado	Consumers	Commercial	Cost, Utilization
Quality Measures: Diabetes A1C Testing and Breast Cancer Screening This report includes summary tables of two quality measures based on nationally endorsed specifications and used by national and state-sponsored… State: Colorado	Consumers	Commercial, Medicaid, Medicare	Quality
Potential Impact of COVID-19 Temporary Cessation of Elective Procedures This analysis based on paid amounts and utilization of services in the Colorado All Payer Claims Database (CO ACPD) provides a summary of payments… State: Colorado	Consumers, Researchers		Cost, Utilization
Low Value Care in Colorado This report summarizes results for 48 measures of low value care evaluated from 2015 through 2017 for 4.1M insured Coloradans (over 70% of insured… State: Colorado	Consumers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
CO Prescription Drug Spending and the Impact of Drug Rebates In 2019, health insurance payers submitted drug rebate and concession information for 2016, 2017 and 2018 to the CO APCD for the first time. This… State: Colorado	Consumers, Researchers	Commercial, Medicaid, Medicare
Regional Price Variation for Common Procedures These maps illustrate regional variation for 11 common services. This information can help communities understand how their health care prices… State: Colorado	Consumers, Researchers		Cost
Common Procedure Episode Price Breakdown Facility price and quality information available at civhc.org provides total price information for high cost, high volume procedures. This… State: Colorado	Consumers		Cost
Imaging Services Price Variation Data is based on 2017 claims submitted by commercial health insurance payers to the Colorado All Payer Claims Database. Dollar amounts reflect median… State: Colorado	Consumers	Commercial	Cost
State Innovation Model Proxy Measure: Breast Cancer Screening Using nationally accepted specifications, methodologies were established using health insurance claims across Medicare, Medicaid and commercial… State: Colorado	Consumers, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Common Procedure Price Variation Variation in prices for common health care services Colorado All Payer Claims Database Episode-based procedures. State: Colorado	Consumers, Population Health, Researchers	Commercial	Cost, Utilization
C-Section Reduction Cost Savings Analysis Based on analysis of data from the Colorado All Payer Claims Database (APCD), the Center for Improving Value in Health Care can identify patterns in… State: Colorado	Consumers, Population Health, Researchers		Cost, Utilization
ED Severity Levels by Payer Data reflects claims received from commercial health insurance payers for Emergency Department visits (defined by inclusion of one of the five codes… State: Colorado	Researchers	Commercial, Medicaid, Medicare	Utilization
Legislative District Medical and Pharmacy Total Spend, 2017 & 2018 This analysis provides allowed amounts (paid amounts) for pharmacy and medical care by Colorado legislative district. These data are based on 2017… State: Colorado	Researchers	Commercial, Medicaid, Medicare	Cost
Advance Care Planning Code Volumes This analysis seeks to understand usage of the advanced care planning CPT code, 99497, from 2016 (the first year implemented) to 2018 for all… State: Colorado	Researchers	Commercial, Medicaid, Medicare	Utilization
Behavioral Health and Substance Use Disorder Claims This report provides the volume and allowed amounts for behavioral health claims (including substance use disorder claims), and separate volume and… State: Colorado	Population Health	Commercial, Medicaid, Medicare	Utilization
Patient, Provider, and Health Care System Characteristics Associated With Overuse in Bronchiolitis This study determined the patient, provider, and health care system characteristics that are associated with receipt of low-value services. State: Virginia	Providers, Researchers		Quality
The role of all-payer claims databases to expand central cancer registries: Experience from Colorado A study from Colorado linking ACPD and Cancer registry claims State: Colorado	Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Quality

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