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Plaintalk Blog: What is Actually in the CO APCD? Part 1: Health Insurance Medical Claims

This is the first in a series of blogs about what, exactly, is in the Colorado All Payer Claims Database (CO APCD).

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CO APCD Change Agent: DRCOG

drcog-(1).pngDRCOG is the federally designated Area Agency on Aging (AAA) and provides services designed to help senior Coloradans live full and healthy lives.

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Top 5 Things to Know About CIVHC's Data Intake Team

Top 5 Things to Know About CIVHC’s Data Intake Team

Top 5 Challenges of the Data Intake Process

Top 5 Successes

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Alternative Payment Model Shift

Jay-Want-CIVHC.jpgOn April 27th, CMS released proposed rules for the implementation of the Medicare and CHIP Reauthorization Act (MACRA), an act that heretofore was famous for containing the repeal of the Sustainable Growth Rate (SGR).

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Colorado Rises in National Health System Performance Rankings

Guest Blogger: Douglas McCarthy

In 2010, the CIVHC-led Data and Transparency Advisory Group set long-term goals for Colorado to move into the top tier of performance among states on key measures of health system performance. Thanks to the collaborative efforts of public and private stakeholders, the state has taken strides to realize these goals.

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Achieving our Olympic Vision

It is fair to say that the Olympics and supporting the greater Olympic community is a family passion. During The Games, we follow the athletes in their events, celebrating and commiserating through victory and defeat. We treasure our own Olympic moments and cheer on close friends who are still working to achieve their dreams.

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Plaintalk Blog - Understanding CO APCD Data Releases

In our last blog, you learned what an All Payer Claims Database (APCD) is and what type of information CIVHC collects. We talked about how each health care claim is a tiny, jumbled Rubik’s Cube and how each color represents a different piece of information (encrypted personal information, provider identifiers, diagnosis codes, etc.). We also discussed that CIVHC’s job, as administrator of the Colorado APCD (CO APCD), is to make sense of all these little cubes and ensure that each side of each cube is the same color.

But what, you may ask, do we do with all of the claims in the CO APCD?
 

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CIVHC Status - Data and Analytics Top 5s

We took a moment to chat with Dave, our VP of Analytics and Data Ops, to learn about his team, the coolest projects happening at CIVHC, and the new vendors

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Change Agent Profile - Southeast Health Group

Change Agent Profile Series (formerly CIVHC's Spotlight on Innovation) - Southeast Health Group's Tipping Point Integrated Care Pilot

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Plaintalk Blog: Why Did Colorado Want An APCD and What Are We Supposed to Do With It?

So, we’ve explained what an All Payer Claims Database is and all the exciting things that it can do; but, why on earth would Colorado what such a thing? How did the CO APCD come to be and what, exactly, is Colorado supposed to do with it?

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Change Agent Profile: American Physical Therapy Association - Colorado Chapter

APTA-logo.pngThe Colorado Chapter of the American Physical Therapy Association is a nonprofit, professional organization with nearly 2500 members.
 

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CIVHC Status - Strategy & Business Development Top 5s

We took a moment to catch up with Tracey Campbell, our VP of Strategy & Business Development. These are the top 5s on things to know about her team, featured Change Agents and their projects, and how CO APCD data is being used.

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Change Agent Profile: HopeWest

Death is a taboo topic in America. In many cases, the reticence to discuss end-of-life concerns extends to serious diagnoses, such as cancer, which may not be terminal.

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Change Agent Chat Briefing: HopeWest

Summary of the Change Agent Chat featuring HopeWest's President and CEO, Christy Whitney.

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We've Only Just Begun

2017 marks the 5th Anniversary of implementation of the CO APCD. We continue to look forward to increasing the use and availability of the data in years to come.

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Plaintalk Blog - What is a Bundled Payment?

What are bundled payments, and how do they help providers reduce waste and deliver better care? Take a look at our interpretation.

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CO APCD Change Agent Profile: Division of Vascular Surgery and Endovascular Therapy, University of Colorado Hospital Department of Surgery

UCHealth-Logo-(1).pngThe University of Colorado Hospital (UCHealth) is the only academic medical center focused on specialized care in Colorado. Providers practicing at UCHealth are Specialists and Surgeons, offering care to the residents of Colorado and several other neighboring states.

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Top 5 Things to Know About CIVHC's Palliative Care Team

Top 5s:

Things to Know About CIVHC’s Palliative Care Team

Ways CIVHC is Engaging in Palliative Care Work in Colorado

Myths about Palliative Care

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CO APCD Change Agent Profile: CDPHE Hypertension and Diabetes Medication Adherence

The Colorado Department of Public Health and Environment (CDPHE) is dedicated to protecting and improving the health and environment of the people of Colorado.

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Why are Prices so High in Health Care?

Jay-Want-for-print.jpgFor many years we have been assuming that if Medicare costs were low in a particular region, like Grand Junction on our Western Slope, then commercial insurance costs were also likely to be relatively low.

 

 

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If You’re Poor, Where You Live Matters

In a recent article in the Journal of the American Medical Association, economists from Stanford and Massachusetts Institute of Technology (MIT) did a very interesting thing. There is a general assumption that the richer you are, the longer you live, on average. This turns out to be true.

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Is the ERISA Supreme Court Decision Doom and Gloom for Colorado?

Recently, I had the opportunity to chat with a national reporter about how the Supreme Court’s Gobeille vs. Liberty Mutual decision impacts Colorado’s All Payer Claims Database (CO APCD). She was surprised to learn that our perspective is significantly different from that of other states with APCDs, who feel the decision greatly affects the value of their database. While the CO APCD would certainly benefit from adding claims from self-insured employers that fall under the Employee Retirement Income Security Act (ERISA), Colorado is already gaining valuable insights from the database and those insights will only improve as we add voluntary claims from ERISA self-insured employers.

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Plaintalk Blog Series

Plaintalk-Blog-Icon.jpgIntroduction to the series, and administrating the Colorado All Payer Claims Database (CO APCD).

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Top 5 Things to Know About CIVHC's Research & Compliance Team

Top 5 Things to Know About the R & C Team

Top 5 Ways Compliance Impacts How Data from the CO APCD is Released

Top 5 Research Collaborations

 

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Plaintalk Blog - How We Create and Price Non-Public Data Requests

Preparing CO APCD data for non-public, custom requests is a completely different process than getting it ready for public reporting. So, what info is included in a custom request and how does CIVHC pull it together and price it?

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CO APCD Change Agent Profile: National Bureau of Economic Research

The National Bureau of Economic Research (NBER) was founded in 1920, and is the nation's leading nonprofit economic research organization.

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CO APCD Change Agent Profile: Oregon State University College of Pharmacy

The College of Pharmacy is affiliated with both Oregon State University (OSU) and Oregon Health and Sciences University (OHSU).

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An Interview with Dr. Jay Want, CIVHC's Outgoing CMO

Jay Want, MD, CIVHC’s current Chief Medical Officer, has been a part of CIVHC since before CIVHC existed. As he prepares to set off on a new chapter with the Peterson Center for Health Care, Jay and Ana, CIVHC’s CEO, sat down to discuss how far CIVHC and Colorado have come and where we’re headed.

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