The Center for Improving Value in Health Care

What The Center for Improving Value in Health Care does

The Center for Improving Value in Health Care (CIVHC) is a Denver-based 501(c)(3) non-profit founded in 2009 and serving as the State of Colorado's designated administrator of the Colorado All Payer Claims Database (CO APCD) since 2010. Its core function is aggregating claims, eligibility, and provider data from commercial payers, Medicaid, and Medicare into a standardized statewide dataset, currently encompassing more than 1.1 billion claims and 5 million lives, and publishing analytic outputs for state agencies, employers, providers, researchers, and consumers. The product portfolio includes an Insights Dashboard for analytic users, a Community Dashboard for population-level reporting, a consumer-facing Shop for Care cost comparison tool, a Provider Payment Tool, and a recently launched Hospital Price Transparency Database covering 84 hospitals and 52+ million rows of charge and rate data.

The underlying technology stack centers on APCD Council-standard data layouts, ETL pipelines for payer submissions, and web-based analytics dashboards. CIVHC has expanded beyond traditional claims to adopt the Non-Claims Payment Common Data Layout, enabling capture of value-based and alternative payment model flows. The 2025 transition to Onpoint Health Data as the operations and technology vendor indicates a deliberate scaling of ingestion capacity and data quality controls. Analytic depth is augmented through partnerships with firms such as Milliman, and recent publications include a Dental Health Analysis with the Colorado Dental Association and a Health Information Exchange Study.

The business model is grant- and contract-funded rather than commercial. Primary revenue sources are philanthropic grants (notably the Colorado Trust and Colorado Health Foundation), state appropriations tied to the APCD mandate, and fee-for-service analytic engagements with employers, providers, and state agencies. Because CIVHC is a non-profit, revenue is reinvested into data infrastructure and analytic publications rather than distributed, and growth is measured in dataset scope, product breadth, and stakeholder reach rather than ARR. Customer concentration skews toward public-sector and large-foundation counterparties, with consumer-facing tools serving as a free public good rather than a monetized channel.

Name

The Center for Improving Value in Health Care

Legal name

The Center for Improving Value in Health Care

Website

https://civhc.org

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

11–50 employees

Short description

CIVHC is a Denver-based non-profit that operates Colorado's statewide All Payer Claims Database under state designation, aggregating claims and price data for state agencies, employers, providers, researchers, and consumers across more than 5 million lives.

Ownership category

akta.pro rank

Product category

Health Care Claims Database & Analytics

SIC

Services-Computer Processing & Data Preparation (7374)

akta.pro primary industry

Clinical Data Repositories (CDR) & Longitudinal Patient Records (HLACAIAH)

akta.pro secondary industry

Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)

Keywords

• All payer claims database
• Health care claims analytics
• Price transparency tools
• Health equity data analysis
• Health care cost reporting

Headquarters

HQ city

Denver

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Licensed CO APCD Data Access: CIVHC provides licensed (non-public) CO APCD data to organizations that are improving lives by tackling specific health care challenges. Access fees apply for custom data releases, standard and custom reports, and data sets. The organization also operates a Health Equity Fund to support access to data for equity-focused work.
2. Research and Evaluation Services: CIVHC offers tailored research and evaluation services to meet specific stakeholder needs, working with partners to determine appropriate outputs for their constituents or communities.
3. Custom Analytics and Consulting: The organization provides custom analyses and data literacy education to support Change Agents in informing health care transformation opportunities.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

CIVHC administers the Colorado All Payer Claims Database (CO APCD), a state-legislated, secure repository containing medical, pharmacy, vision, and dental claims representing more than 5 million Coloradans and over 1.1 billion claims spanning 10+ years. On top of this core dataset, the organization publishes free public interactive dashboards and analyses and sells licensed custom data releases and tailored research and evaluation services to healthcare providers, payers, employers, government agencies, and researchers.

Product overview

The Center for Improving Value in Health Care (CIVHC) operates the Colorado All Payer Claims Database (CO APCD) as its core product—a state-legislated, secure health care claims repository containing over 1.1 billion claims representing more than 5 million Coloradans. Built on this core database, CIVHC offers a portfolio of public interactive dashboards and analytical tools including the CO APCD Insights Dashboard, Community Dashboard, Shop for Care, Provider Payment Tool, Hospital Price Transparency Database, and specialized analyses for Chronic Conditions, Dental Health, Prescription Drug Rebates, Health Equity, Telehealth Equity, Medicare Reference Pricing, Low Value Care, Alternative Payment Models, and Colorado County Profiles. CIVHC also provides licensed (non-public) data access for organizations requiring detailed data to address specific health care challenges.

Differentiator

Problem solved

Functional benefit

Products and services

• Colorado All Payer Claims Database (CO APCD)
• Licensed CO APCD Data Access
• Research and Evaluation Services
• Hospital Price Transparency Database

Quantifiable outcome

• 11% decrease in ED visits for Medicaid patients at HIE-participating clinics vs 18.5% increase at control clinics
• +2 more outcomes

Named customers5 records

Segments8 records

Ideal customer profiles6 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature3 records

Partnerships

Ten partnerships are on record, tiered core and supporting.

• Onpoint Health DatacoreTechnology or Integration · 19 August 2025Onpoint Health Data was selected as the new official CO APCD data vendor following a competitive selection process. The transition supports improving data accessibility, reducing technical gaps, enhancing CIVHC's ability to innovate, and increasing CIVHC oversight of data operations. Onpoint handles data submissions, processing, claims transfers, secure analytic enclave buildout, and production output development.
• Colorado Dental AssociationcoreStrategic or Co-development Partner · 15 August 2025Partnership to release the first-ever dental health analysis using CO APCD data. The interactive dashboard provides insights into dental care utilization, costs, and disparities across Colorado using commercial claims data from 2022-2024.
• MillimancoreTechnology or Integration · 1 January 2024CIVHC engaged Milliman for two key analyses: the Medicare Repricer Tool for reference-based pricing comparisons (applying Medicare reimbursement logic to commercial claims) and the MedInsight Health Waste Calculator for identifying low-value care services in Colorado.
• Human Services Research Institute (HSRI)coreTechnology or IntegrationHSRI serves as data manager working with payers prior to submission to ensure understanding of requirements and smooth submission processes. HSRI analysts compare newly submitted data to benchmarks and perform quality checks to ensure data accuracy.
• NORC at the University of ChicagocoreTechnology or IntegrationNORC operates the secure Data Enclave where claims files are processed and validated. Over 300 validation tests are performed on new submissions before claims progress into further quality checks.
• Human Services Research Institute (HSRI) - Joint White PapersupportingStrategic or Co-development PartnerHSRI and CIVHC jointly released a white paper in 2024 titled 'Putting Health Care Data on the Map: Advancing Health Care Equity Through Enhanced Geographic Context in Health Care Administrative Datasets' exploring how geocoding helps APCDs build health equity analysis infrastructure.
• Civitas Networks for HealthsupportingStrategic or Co-development PartnerCIVHC participates in Civitas Networks for Health webinars and initiatives with other APCD leaders (including Virginia) to discuss expanding APCD scope beyond traditional claims data, enabling multi-state collaboration.
• U.S. Census BureausupportingTechnology or IntegrationCIVHC integrates CO APCD data with U.S. Census data to investigate relationships between social determinants (transportation, internet connectivity) and health care access at the neighborhood level.
• American Community Survey (ACS)supportingTechnology or IntegrationCIVHC uses ACS data to derive socio-economic measures (income, education, employment, housing, transportation) and link them to health care outcomes in public equity reports.
• CDC Social Vulnerability IndexsupportingTechnology or IntegrationCIVHC integrates CDC SVI data with geocoded CO APCD data to report on the intersection of social determinants of health factors such as income, housing, race, ethnicity, and health outcomes.

Scale indicators8 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Arkansas Center for Health Improvement (ACHI): Independent, nonpartisan health policy center managing Arkansas's APCD (created by state legislation). Direct peer in operating a state-legislated claims database with policy research, public dashboards, and analytic services for stakeholders.
• New Hampshire Insurance Department - NH APCD: Operates New Hampshire's Comprehensive Health Information System (NH CHIS), the state's APCD. Direct peer as a state-administered multi-payer claims database serving policy, research, and consumer transparency use cases.
• Oregon Health Authority - Oregon APAC: Operates Oregon's All Payer All Claims (APAC) program. Direct peer as a state agency steward of a comprehensive multi-payer claims database used for cost, utilization, and quality analysis, with publicly available interactive dashboards.
• Massachusetts Center for Health Information and Analysis (CHIA): Massachusetts' state agency operating the Massachusetts APCD (MA APCD), one of the longest-running and most comprehensive state APCDs in the country. Direct peer as a state-legislated claims database administrator serving similar Change Agent segments (researchers, government, payers, providers) with public dashboards and licensed data access.
• Minnesota Department of Health - MN APCD / MDH Health Economics Program: Operates the Minnesota All Payer Claims Database (MN APCD), one of the nation's pioneering state APCDs. Direct peer with comparable mandate to collect claims from public and private payers and produce analytic reports for state health policy and stakeholder use.
• Virginia Health Information (VHI): Virginia's nonprofit organization administering the Virginia APCD and publishing reports on health care cost, quality, and utilization. Direct peer as a state-level claims data steward; CIVHC explicitly collaborates with VHI through Civitas Networks for Health on multi-state initiatives.
• Washington State Health Care Authority - WA APAC: Administers Washington's All-Payer Claims Account (WA APAC) for the state. Direct peer in operating a state-legislated claims database with public reporting and analytic products serving similar stakeholder types.
• Civitas Networks for Health: National nonprofit network of APCDs, HIEs, and quality improvement organizations. Direct peer / industry convener for the same organizational category as CIVHC; CIVHC is an active member collaborating on multi-state data initiatives and non-claims payment frameworks.

Regional players

• Contexture (formerly CORHIO): Colorado-based health information exchange operator and CIVHC's research partner. Regionally focused HIE in CIVHC's home state, with overlapping scope on payer-provider data exchange and population health analytics; CIVHC conducted HIE utilization research funded by Contexture.

Broad incumbents

• Health Catalyst: Commercial healthcare data and analytics platform serving providers, payers, and ACOs. Broad incumbent in healthcare data warehousing and analytics with overlapping use cases (cost, utilization, quality) but focused on enterprise SaaS rather than state-level public goods.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/CIVHC_News
• YouTubeyoutube.com/channel/UChLutbrGOwadVN99tzVQ5BQ
• Facebookfacebook.com/CIVHC
• LinkedInlinkedin.com/company/civhc

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about The Center for Improving Value in Health Care