Primary Care Spending in Colorado
Colorado House Bill 19-1233 requires CIVHC to provide an annual report of primary care and alternative payment models (APM) spending to the Colorado Insurance Commissioner for use by the Primary Care Payment Reform Collaborative (the Collaborative). The Collaborative’s goal is to reduce health care costs by increasing utilization of primary care. Every year, the Collaborative issues a report highlighting their recommendations. CIVHC's reports are used are used by the Collaborative to inform annual updates to their recommendations.
CIVHC's Primary Care Spending reports below measure progress toward increasing utilization of primary care and include the percentage of medical expenses allotted to primary care, the share of payments that are made through nationally recognized APMs, and the share of payments that are not paid on a fee-for-service (FFS) or per-claim basis.
The report is based on payer-submitted information to CIVHC and the Colorado All-Payer Claims Database (CO APCD) about primary care and total medical spending from both claims and non-claims payments under FFS and APMs.
Click below to view the CIVHC reports, and visit the Division of Insurance website to download the Collaborative's recommendations.
To learn more about CIVHC's work on Alternative Payment Models in Colorado, please visit our Affordability Dashboard.