Skip To Content

Voices On Value RSS Feed

CIVHC Status - Strategy & Business Development Top 5s

Top 5 Things to Know

  1. The members of S&BD make building and managing relationships with stakeholders and customers a prime focus – while helping folks understand how to use CO APCD data and derive value from it to support their health improvement needs.
  2. The team works hard with stakeholders across Colorado, data requestors, the Data & Analytics team, and the Data Release and Review Committee to make sure that all data requests for the CO APCD benefit Colorado residents and advance the Triple Aim to support innovation across Colorado.
  3. The S&BD team are wicked-good at Calendar Tetris; their schedules are jam-packed with calls and meetings with partners and stakeholders across the state and nation.
  4. Innovation is their middle name – they are committed to finding new ways to help their clients use CO APCD data to improve health and health care. They are obsessed with finding solutions!
  5. They work hard and play hard –
  • Eddy Costa (Account Executive) rides a motorcycle
  • Bill Bauer (Account Executive) enjoying running
  • Amy Andrews McMaster (Stakeholder Relations) is a yoga instructor
  • Kari Degerness (Account Manager) loves to bake
  • Tracey Campbell (VP of Strategy & Business Development) enjoys golfing and travel.

Top 5 Coolest Change Agent Data Requests/Projects

  1. Chronic Care Collaborative (CCC) Pharmacy Dashboard - Member organizations of the CCC are each receiving customized drug dashboards, populated with CO APCD data, visualizing the cost of drugs which help manage and treat the population they advocate and educate for. These interactive dashboards display show how much Colorado is spending for certain prescription drugs and whether prices are going up or down for health plans and Colorado residents who use them.
  2. Proxy Measures for Colorado State Innovation Model (SIM) – In collaboration with the SIM Office, CIVHC developed innovative ways to use the CO APCD to evaluate how well providers care for their patients. Using nationally accepted quality measure specifications, CIVHC analysts designed the methodology to use health insurance claims in the CO APCD to develop alternative, or proxy, quality measures. These claims-based quality measures are being provided to the 80 practices working through SIM and are also being evaluated across the entire state to identify opportunities to create targeted, meaningful interventions that improve population health, improve care, and lower costs for Colorado.
  3. Project Angel Heart - A Denver based non-profit, Project Angel Heart provides free, nutritionally appropriate meals to patients with chronic conditions and mobility concerns as prescribed by a physician. Data from Project Angel Heart is being combined with claims data from all payers and various socio-economic markers for the year prior to receiving services, the duration of service delivery, and one year after service delivery. This project will allow Project Angel Heart to demonstrate the impact of appropriate nutrition on health care utilization and costs.
  4. Free-Standing Emergency Departments (FSED) – At the request of Senator John Kefalas, a multi-stakeholder group used CO APCD analysis of cost and utilization trends at FSEDs to investigate how Coloradans are using this new service provider. The analysis helped inform legislation considered in the 2017 Colorado legislative session.
  5. Connect for Health Colorado - The Quick Cost and Plan Finder tool is a collaboration between CIVHC and Connect for Health Colorado and allows marketplace users to estimate annual total costs and premiums by health plan offering. The tool asks users to fill in basic personal information, including age and gender, and to self-report their level of health care usage according to three levels, high, medium, or low. Shoppers then can enter preferred provider or hospital names and prescription information as criteria when the tool searches for applicable plans. Once all questions are answered, the tool provides the user with a listing of all of the plans that meet their criteria. Displayed with the plan information are premium estimates as well as total out-of-pocket cost estimates.

Top 5 Ways Change Agents Are Using CO APCD Data

  1. Utilization – CO APCD data helps stakeholders understand where Coloradans are going for care and how often.
  2. Evaluation – By looking at claims from pre- and post-periods, stakeholders use CO APCD data to evaluate the efficacy as well as the effect on costs and utilization care for interventions.
  3. Benchmarking Cost and Utilization – Because the CO APCD represents more than 80% of all Colorado residents and health care claims information on commercial, Medicaid, and Medicare members, it is the most comprehensive resource for providers and payers and employers to benchmark cost and utilization.
  4. Inform Alternative Payment Models – CO APCD data helps providers and facilities investigate ways to move from a Fee-For-Service payment model to one based on value.
  5. Digital Health Innovation – Data sets from the CO APCD inform and support innovation in mobile and digital health for the Colorado start-up community.
     

Share on: DiggFacebookRedditDeliciousTwitter

Comments

Blog post currently doesn't have any comments.

Leave comment

Subscribe



 Security code