Trends Show More Coloradans Accessing Behavioral Health Services

As the Colorado All Payer Claims Database (CO APCD) inches closer to the historic milestone of one billion claims, the latest version of the interactive Insights Dashboard continues to indicate a steady rise in behavioral health services since 2013. The Insights Dashboard helps users understand the contents of the CO APCD and how it has changed over time by population, payer, claim type and claim volume. Additional information on what percentage of the insured population is represented in each county and other important coverage information is also included.

The new dashboard shows that the number of claims for behavioral health services has risen nearly 160% since 2013 across all payer types, reaching nine million total claims in 2021 alone. The number of individual Coloradans accessing behavioral health services more than doubled from 2013 to 2020. The number of unique people receiving one or more behavioral health service increased by 78% from 2013 to 2020. During 2021, there were approximately 1.3 million unique Coloradans receiving one or more behavioral health service.


Recent to the dashboard is the inclusion of individual, self-insured and employer size breakouts for those with commercial coverage by county. The majority of people with commercial coverage in the CO APCD have insurance through an employer with less than 100 employees.

Since inception nearly 10 years ago, the CO APCD has grown in depth and breadth and now contains:

  • 850 million+ claims
  • 5 million+ covered lives
  • 44 distinct payers (across commercial, Medicaid, and Medicare Advantage and Fee-for-Service)

It is important to note that CIVHC collects claims from commercial payers and Medicaid on a monthly basis and updates the entire data warehouse every other month. While the Insights Dashboard reflects claims through calendar year 2021, data available in the database is more current and reflects claims paid three months prior (for example, the May refresh contains claims paid through the end of February).

The CO APCD is a robust and comprehensive resource critical for Change Agents across the state and nation to identify opportunities to improve the health of Coloradans and address rising health care costs. Please visit our website to learn more about public and non-public data and analyses that can be gleaned from the CO APCD, or contact us at for more information.

For more information about this report and other reports available please visit our website at or contact us at

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