Medicare

Resource	Category	Carriers	Purpose
Nationwide Evaluation of Health Care Prices Paid by Private Health Plans: Findings from Employer-Led Transparency Initiative 3.0 Using data from 2016 to 2018, the authors document variation in facility prices for the commercially insured population, reporting differences in stan...	Employers, Providers	Commercial, Medicare	Cost
State Innovation Model (SIM) Proxy Measure: Hypertension The Center For Improving Value in Health Care (CIVHC) analyzed hypertension in adults across the nation, with a special focus on those in Colorado. Th... State: Colorado	Consumers, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
State Innovation Model (SIM) Proxy Measure: Diabetes The Center For Improving Value in Health Care (CIVHC) analyzed diabetes in adults aged 18-75 across the nation with a special focus on those in Colora... State: Colorado	Consumers, Insurance Department, Medicaid, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality
Analyze Health CT Website This website allows Connecticut residents access to healthcare information derived from historic claims data. Reports published by Analyze Health CT b... State: Connecticut	Consumers, Health Reform, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, Utilization
Primary Care Spending in Oregon This data includes claims-based and non-claims based payments made to health care providers in 2019. Data was obtained from OHA's All-Payer All C... State: Oregon	Health Reform, Insurance Department, Medicaid, Researchers	Commercial, Medicare	Cost
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 progr... State: Colorado	Consumers	Commercial, Medicaid, Medicare	Quality
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 liv... 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 drug... State: Colorado	Consumers, Researchers	Commercial, Medicaid, Medicare
State Innovation Model Proxy Measure: Breast Cancer Screening Using nationally accepted specifications, methodologies were established using health insurance claims across Medicare, Medicaid and commercial payers... State: Colorado	Consumers, Population Health, Providers, Researchers	Commercial, Medicaid, Medicare	Cost, Quality, 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

Medicare

APCD Council