USE CASE: Family Planning Clinic Rate Setting

The Colorado Department of Public Health and Environment (CDPHE) is dedicated to protecting and improving the health and environment of the people of Colorado. CDPHE oversees not only environmental issues like air pollution and drinking water but also public health concerns like emergency care and health facilities.

Most family planning clinics are publicly funded and support a high-need, underserved population. The services they provide play an important role in prevention of unplanned pregnancies which often translates into overall health care cost savings. Good data can help clinics set appropriate rates for their services and help them secure more sustainable revenue streams through Medicaid and private insurance.

Project Summary: CDPHE used CO APCD data to analyze Medicaid allowable paid amounts for codes commonly associated with reproductive health visits.

Benefit to Colorado: CO APCD data provided a point of reference for family planning clinics to negotiate contracts with private insurers and ensure that their sliding fee scales were in line with the market value of the services. Additionally, it allowed the clinics to project future revenue and budget accordingly.


Categories: CO APCDState Agency

Related Posts


Plaintalk Blog: Understanding Health Care “Costs”

Across the U.S. and in Colorado, health care costs continue to rise. But what kind of costs are economists, policy makers and others referring to when they talk about making health care more affordable? It Read more…


CIVHC Launches New Website Featuring Enhanced Data and Innovations in Health Care

The Center for Improving Value in Health Care (CIVHC) has unveiled a new website showcasing Change Agents and featuring interactive data and reports from the Colorado All Payer Claims Database (CO APCD) to measure progress Read more…


Plaintalk Blog: What Can I Do With the New CIVHC Website?

Out of necessity and contract arrangement with our previous data warehouse vendor, CIVHC has maintained three websites over the past five years: – general information on our organization and some data/reports –interactive Read more…