This is the first in a brief series about the process of making changes to the Colorado All Payer Claims Database (CO APCD) Rule and Data Submission Guide (DSG). In September 2019, CIVHC will begin collecting information about Alternative Payment Models (APM) and Prescription Rebates from the payers who submit Read more…
The US health care system is incredibly complicated and it seems to add insult to injury that most of us have to learn an entirely new language just to be able to keep up. In this series, we will be taking on the language barrier and defining some of these Read more…
There are many small things that we do today that can have a big impact on us later in life. From signing up for the 401k at work to taking the stairs every day, little actions can add up. We could say the same thing to self-insured employers about submitting Read more…
The number of people living with substance use disorder (SUD) (including opioids) is large, widespread, and serious cause for concern. Many researchers and organizations are looking for ways to understand the scope of the problem and thereby develop interventions. However, sharing of SUD information, including health insurance claims, is governed Read more…
Planning for the future can be exciting and full of possibilities – like when you’re mapping out your college courses to ensure career success. It is a gigantic puzzle, making sure you have enough credits, that you’ve completed the required courses, and choosing your electives. It requires forethought and diligence Read more…
Until recent years, if you were a patient needing a health care service, it was nearly impossible for you to determine what it might cost you unless you had health insurance and access to a cost estimator tool. If you didn’t have insurance, your only option was to start calling Read more…
Picture Day. Love it or hate it, it was an integral part of every school year. If you were lucky, you chose your favorite outfit and made sure your smile sparkled. If your luck was at the other end of the spectrum, you forgot what day it was and were Read more…
One of the classic moments in any movie western is the runaway stagecoach. In order to save the city-slicker passengers, the hero races behind the galloping team and somehow leaps onto the driver’s seat and coaxes the horses to a stop, usually at the very edge of a cliff. Costs Read more…
If you have been to a doctor’s office in the last several years, you’ve likely signed a form detailing the provider’s privacy practices, how they protect your information, and how they comply with something called HIPAA. The Healthcare Information Portability and Accountability Act (HIPAA, pronounced just like it is spelled: Read more…
On a monthly and quarterly basis, health insurance payers including Medicaid, over 33 commercial payers, and Medicare submit claims to the Colorado All Payer Claims Database (CO APCD). Payers submit claims for everyone they provide coverage to, regardless of whether they accessed health care during the previous period or not, Read more…