Publications

Interactive Public Reports

CIVHC has a number of detailed interactive public reports available based on our focus areas, including: price transparency, prescription drug rebates, alternative payment models, Medicare reference-based pricing, telehealth, and more. Visit our Public Data page to learn more and view these reports.

Data Dives 

CIVHC’s Data Dives explore public reporting data to identify specific opportunities to improve access to care, quality, and utilization across Colorado. Data Dives give an in-depth look through a community-level lens at a number of health measures including pediatric and mental health care, cancer screenings, and more. Read through the available Data Dives.

Released: February 2023
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Coloradans living with mental illness don’t always have access to comprehensive services or seek timely care to support their needs. Many efforts are underway in Colorado to improve diagnosis and treatment of mental health conditions, reduce stigma related to seeking care, and expand coverage and access to services for those living with mental illness. Despite these efforts, across the state, the Emergency Departments (ED) remain a source of support for many suffering from potentially preventable mental health crises. This custom data set from the Colorado All Payer Claims Database (CO APCD) provides a snapshot of utilization, cost and trends for visits to the ED with mental health or potential self-harm as a primary diagnosis.

Released: January 2023
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Additional Resources: Office of Saving People Money on Health Care Report on Long COVID in Colorado

After having COVID-19, some people experience new or ongoing related symptoms often called Long COVID. This analysis identifies the number of Coloradans in the CO APCD who were diagnosed with Long COVID. The information is broken down by age, gender, race/ethnicity, and county of residence. This analysis includes Coloradans with a Long COVID diagnosis on or after October 1, 2021 (when the ICD-10 long COVID code was implemented). Claims from October 1, 2021 through August 31, 2022 were included.

Released: November 2022
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This analysis provides a snapshot of utilization, cost, and trends for vasectomies and oral and non-oral contraception in Colorado from 2018-2021. The data set includes plan paid, patient responsibility, and total allowed amounts (plan paid and patient responsibility combined), in addition to the total number of procedures or prescriptions and the rate of people receiving care per 1,000 covered lives by payer. Results indicate that vasectomies decreased slightly during the height of the pandemic (2020), while use of oral contraception and non-oral contraception (provider administration portion) has remained consistent. There has been a decrease in use of non-oral contraceptives (prescription portion only), due to a decrease in the prescription fill rate for the vaginal ring.

Released: October 2022
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A new analysis is now available that measures trends in the utilization and cost of two preventive care services before and after the onset of the COVID-19 pandemic among Colorado residents. The data provides volume and costs associated with annual wellness and dental visits from 2018 to 2021 by payer. Additionally, the data shows variation in urban vs rural county residents and includes race and ethnicity demographics. In general, rates for both well visits and dental visits decreased in 2020, and increased in 2021. However, 2021 visits did not increase to pre-pandemic levels.

Released: September 2022
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This analysis was conducted to understand the utilization of gender affirming care among transgender, gender diverse, and non-binary (TGDNB) youth and young adults over time. In 2017, the Colorado Department of Health Care Policy and Financing’s (HCPF) Medical Services Board passed a statute for a comprehensive Medicaid transition-related care benefit. Through legislation passed in 2021, Colorado became the first state in the nation to require comprehensive gender-affirming care as part of minimum, or “benchmark,” health care plans sold on the individual and small group markets, which accounts for about a quarter of the state’s insured population. Plans must comply beginning in 2023.

Released: March 2022
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Read the Data Dive 

This analysis measures the number of claims in the Colorado All Claims Database (CO APCD) with a Z code identifying a health-related social need. Z Codes became available in 2016 and are a subset of ICD 10 codes that identify non-medical factors (such as homelessness or unemployment) that may influence a patient's health status. This analysis explores the volume and percentage of people in the CO APCD with these claims by year (2016-2020), payer type (Medicaid, Medicare, and commercial payers), and by specific Z code. Although the codes have been available since 2016, this analysis indicates that adoption and use of these codes has been slow.

Released: February 2022
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This analysis shows the frequency of women receiving an additional Emergency Department (ED) charge with a normal labor and delivery. The data provides the volume and percentage of normal, routine vaginal deliveries with an additional ED charge, and provides breakouts by payer type (Medicaid or commercial), trends over time, and by ED facility severity level code. Average allowed amounts (patient and plan paid) for vaginal delivery in CO with and without an ED charge are also included.

Released: August 2021
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With the onset of the COVID-19 pandemic in early 2020, testing for the virus became a critical component of mitigating the spread. Many test options and locations became available and continue to offer testing options. This dataset explores price variation for COVID-19 testing based on where Coloradans received the test in terms of setting (ER, Outpatient facility, or Provider Administered), and by region across the state (DOI and rural vs. urban counties). In addition, prices are available by in and out-of-network provider to show variation in coverage options selected.

Released: May 2021
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This analysis provides median and 25^th-75^th percentile payment ranges for Anesthesiologists, Radiologists and Emergency Physicians for calendar year 2019. Claim counts and percent of claims and payments less than $3,000 are also available.

Released: April 2021
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The CO APCD contains dental claims submitted by payers who provide coverage in Colorado. This report identifies the top 300 dental procedures by volume from 2012-2020 that are available in the database. For more information on number of dental claims and people covered with dental insurance by payer, visit our CO APCD Insights Dashboard.

Released: April 2021
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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 data collection and capture of required and voluntary race and ethnicity information in the CO APCD. Please note that the data does not yet fully represent the race/ethnicity distribution in the CO APCD as all payers (public and private) are working on improving their data collection and submission. CIVHC continues to work with payers to improve these fields and is also working to bring in external sources of race, ethnicity and socioeconomic data into the data warehouse to enable more extensive analysis of health equity.

Released: March 2021
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This analysis provides information on the top 100 generic and top 100 brand commercial prescription drugs from 2019 based on highest spend (total allowed amount) in the Colorado All Payer Claims Database (CO APCD).  Breakouts by plan and patient paid amounts are also available as well as price and utilization trend information for the top 100 drugs from 2016-2018.

Released: December 2020
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The Nurse Midwife Payment Evaluation data set provides payment comparisons for common procedures provided by Nurse Midwives, OB/GYNs, Primary Care Providers, Nurse Practitioners and Physician Assistants. The data is available by payer (Medicaid, Medicare Advantage and commercial) and shows median and average paid amounts and 25^th to 75^th percentile paid amounts to allow users to understand variation in payments.

• Quality Measures: Diabetes A1c Testing and Breast Cancer Screening -  Methodology
• Potential Impact of COVID-19 Temporary Cessation of Elective Procedures - Supplemental Data File
• Low Value Care in Colorado
• CO Prescription Drug Spending and the Impact of Drug Rebates
• Regional Price Variation for Common Procedures
• Common Procedure Episode Price Breakdown
• Imaging Services Price Variation
• Prescribing Opioids in CO - Supplemental Data File
• Common Procedure Price Variation
• Cancer Prevalence in Colorado
• Chronic Conditions in Colorado
• Quality Measures in Colorado
• Total Cost of Care
• Health Care Utilization in Colorado
• Drug Cost Savings Potential - Vimovo and Duexis
• Cost of Care in Colorado
• SIM Measures
• Regional Payment Variation
• Free Standing Emergency Departments
• Infographic: Hepatitis C
• Payment Variation by Payer
• Avoidable Emergency Department Use
• Average Paid Amounts for Common Health Conditions
• C-Section Reduction Cost Savings Analysis 

• Colon Cancer Screening and Colonoscopy Billing
• Behavioral Health and Substance Use Disorder Claims
• Emergency Dept. Facility Payments
• Advance Care Planning Code Volumes
• Legislative District Medical and Pharmacy Total Spend, 2017 & 2018
• Low Birthweight and Birth Outcomes
• Respite Care Volume and Total Spend in CO
• In/Out of Network Costs
• Firearm Injury Trends and Costs
• Top 25 CPTs by Volume in CO
• Intraoperative Neuromonitoring
• Prescription Trends of Opioid Drug Subsys
• Coloradans with Pre-Existing Conditions
• Medicaid/Frostbite Claims 
• ED Severity Levels by Payer
• High Risk Pool Costs 
• EpiPen Cost Trends
• Medicaid Teen Pregnancy Rate Trends