Center for Improving Value in Health Care
Dec 12, 2014 | 0 comments | Posted by Global Administrator
Consumer Engagement, Health Reform, Price Transparency, Colorado All Payer Claims Database
Originally appeared in the November/December issue of Colorado Medicine.
In recent years, the Internet has empowered consumers to make informed choices on products and services on everything from restaurants to books to plumbing. Yet, when it comes to health care, we’ve been essentially stuck in the horse-and-buggy days.
Health Reform, Price Transparency, Colorado All Payer Claims Database
When we think of filling our prescriptions with generic drugs, we generally consider them a low cost, equally effective alternative to a brand name medication. We’ve also heard about the power of generics to move the price of brand name drugs and lower prescription medication spending overall. A recent example of this is Lipitor. Lipitor (generic name Atorvastatin) is a widely used cholesterol lowering medication that became available in the last half of 2012 as a generic. The generic version provided a lower cost option at less than one third of the cost of the name brand Lipitor. CIVHC analysis of data from the Colorado All Payer Claims Database pre and post-introduction of the generic version of Lipitor shows that the price per day for the brand Lipitor also dropped substantially as a result of generic competition which provided consumers with more alternatives.
Jan 21, 2015 | 0 comments | Posted by Global Administrator
Delivery System Redesign, Health Reform, Integrated Care, Colorado All Payer Claims Database
On December 16, 2014, the staff at CIVHC spontaneously started yelling and dancing. No, we were not celebrating the upcoming holidays with synchronized glee, nor were we working on “Colorado APCD: The Musical”. We were throwing a party because the long awaited Centers for Medicare and Medicaid Innovation State Innovation Model Round 2 funding awards were released and two long years of work were being rewarded. Colorado was awarded $65 million dollars to implement the Colorado state innovation model and was one of only 11 states awarded dollars to fund implementation of a statewide plan. While we here at CIVHC have been living and breathing SIM for the past two years, it might not be as familiar to all of you. Let me give you a brief history of the work that has been put into SIM and hopefully you’ll see why we’re so excited.
Feb 13, 2015 | 0 comments | Posted by Global Administrator
Colorado All Payer Claims Database, Consumer Engagement, Price Transparency, Triple Aim, Care Transitions
Over the last two years, the Colorado APCD team has worked very hard with stakeholders across the state of Colorado, as well as across the country, to make the state’s most comprehensive health care claims database accessible and valuable for the benefit of Coloradans. According to the legislation establishing the database, the purpose of the CO APCD is to “facilitate the reporting of health care and health quality data that results in transparent and public reporting of safety, quality, cost and efficiency information at all levels of health care.” We’ve come a long way towards realizing that public purpose from 2012 to now and I’d like to highlight some of the exciting ways organizations are using the custom data for health care improvement.
Mar 11, 2015 | 0 comments | Posted by Global Administrator
Consumer Engagement, Price Transparency, Triple Aim, Colorado All Payer Claims Database
After joining CIVHC last year, I made a point of pouring through all of our past grants and reports to gain as much historical knowledge as possible. I wanted to understand our roots, our challenges, our successes and the progress we’ve made in the few short years since our inception as an organization. The Colorado All Payer Claims Database (CO APCD) annual legislative report was one in particular that I found intriguing given the astounding progress made between the time the APCD was signed into law in 2010 through last year’s 2013 recap. The 2014 annual legislative report just released is yet another reminder of how far we’ve come in such a short amount of time. While it’s important to celebrate the accomplishments made over the past year, we continue to set our sights on where we need to take this important statewide resource to ensure it is providing the highest value possible to Colorado.
May 15, 2015 | 0 comments | Posted by Global Administrator
Health Reform, Colorado All Payer Claims Database
In March I attended a unique event called 10.10.10. This inaugural gathering brought together tech entrepreneurs and health care experts to mull solutions to health care’s most vexing problems: health data, Alzheimer’s, childhood obesity, and others. The basic construct: ten entrepreneurs, ten wicked problems, ten days to work on them. The gathering yielded what you often get when you bring a diverse group of people together: different viewpoints, and resulting insights into one’s own area by seeing it through different eyes.
Price Transparency, Health, Reform, Colorado All Payer Claims Database
As an economist, I know that credible information based on analysis of reliable data is worth its weight in gold. But, I also know that it is important not just to provide information, but to impart meaning and motivate action based on the results. To really make a difference, you have to engage all stakeholders in the health care community, get them to ‘take notice’ of the information and weave a story around the data to spark change.
May 15, 2015 | 1 comments | Posted by Global Administrator
Triple Aim, Colorado All Payer Claims Database
Similar to the ever-changing health care landscape in Colorado, CIVHC has evolved over the years to address the key health care needs of our state. CIVHC was originally created in 2008 by Executive Order of the Governor in recognition of the need to have a systemic, statewide approach to advancing the Triple Aim of better health, better care and lower costs.
Jun 22, 2015 | 0 comments | Posted by Global Administrator
In my last blog I talked about the importance of CIVHC’s five pillars to support our strategies and advance our mission to cultivate initiatives that improve health, health care, and lower costs in Colorado. This month I’ll share with you what we’re calling CIVHC 2.0 – taking our work and support to the next level to advance health care in Colorado.
Oct 1, 2015 | 0 comments | Posted by Global Administrator
Price, Transparency, Colorado All Payer Claims Database
Pop quiz: When it comes to health care, what's the difference between cost, charge, and payment?
This question opened a recent article I read regarding medical schools teaching new doctors to talk to patients about price. Knowing the nuances between the definitions of cost, charge and payment isn’t something most consumers understand, nor do they really have to. I believe simply raising awareness that there can be a big difference in what you (or your insurance company on your behalf) might pay for health care depending on where you go and treatment options you choose is just as important. Training doctors to understand the potential financial impact of their recommendations and having those conversations with their patients is an important step in the right direction in raising awareness of price transparency.
Nov 18, 2015 | 0 comments | Posted by Global Administrator
Price Transparency, Colorado All Payer Claims Database
Thanksgiving is rapidly approaching which brings to mind all the things I’m grateful for - including some amazing family recipes. Each ingredient on its own is unique and important, but when you put them together it can be downright magical. We talk a lot about the power of organizational collaboration in Colorado in the same vein, but the same can be true when combining data sources.
Jun 21, 2016 | 0 comments | Posted by Global Administrator
Bundled Payments, Colorado All Payer Claims Database, Cost Transparency, Payment Reform, Triple Aim, All Payer Claims Database
On 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).
Aug 23, 2016 | 0 comments | Posted by Global Administrator
Colorado All Payer Claims Database, Cost Transparency, Delivery System Redesign, Accountable Care Organizations
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.
Consumer Engagement, Cost Transparency, Price Transparency, Colorado All Payer Claims Database
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.
Aug 25, 2016 | 1 comments | Posted by Global Administrator
Colorado All Payer Claims Database
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?
Feb 21, 2017 | 0 comments | Posted by Global Administrator
CIVHC Partners, Collective Impact, Colorado All Payer Claims Database, Triple Aim, Transparency, All Payer Claims Database
Change Agent Profile Series (formerly CIVHC's Spotlight on Innovation) - Southeast Health Group's Tipping Point Integrated Care Pilot
Mar 2, 2017 | 2 comments | Posted by Global Administrator
Colorado All Payer Claims Database, Plaintalk Blog, CO APCD
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?
Jul 16, 2015 | 0 comments | Posted by Global Administrator
Colorado All Payer Claims Database, Palliative Care, Medicaid, Medicare, Bundled Payments
I recently had the opportunity to travel to Spain for a cousin’s wedding, and every time I visit Europe I’m struck by the remarkably advanced transportation system they have in place. You can get just about anywhere you want to go in Europe by train, and in most cases a high speed option is available. As I was periodically checking in to the health care scene stateside while I was away, the cliché “The Train Has Left the Station” kept coming to mind. Significant changes are taking place in health care signaling an uptick in momentum. Not only has the train left the station when it comes to transparency and payment reform, but it’s well on its way towards the final destination – lower costs and better care.
Aug 25, 2015 | 0 comments | Posted by Global Administrator
Health Reform, Price Transparency, Triple Aim, Colorado All Payer Claims Database
I was shocked this week to see a few leaves turning signaling the first signs of fall, especially only a few short days following 90-plus degree weather. This time of year always seems to sneak up too quickly with school back in session, cooler nights and the hours of daylight diminishing. At the same time, the crisp night air and brisk mornings are a welcome change to the summer heat and I’m reminded again of how privileged I am to live in Colorado where with each change in season we’re surrounded by a new, unique perspective.
The term “Big Data” is a popular phrase these days across social media and blogs, especially when it comes to health care. It’s not surprising given the challenges we’re facing with health care at the national level and the fact that data is key to managing any improvement effort. While the term “Big Data” is becoming synonymous with the golden ticket, it has the potential to become dangerous when used too broadly without a common definition. When it comes to data - “big” or “small” - not all are created equal, but the power of the right data can be instrumental to identify and inform meaningful, innovative change.
Dec 22, 2015 | 1 comments | Posted by Global Administrator
Colorado All Payer Claims Database, Health Reform, Price Transparency, Triple Aim, CO APCD
Anyone who’s looked at an impressionist painting at close range knows that until you step back and look at the whole picture, it’s hard to know what you’re really looking at. The recent New York Times article, “The Experts Were Wrong About the Best Places for Better and Cheaper Health Care,” demonstrates this phenomenon perfectly.
Feb 17, 2016 | 0 comments | Posted by Global Administrator
Bundled Payments, CO APCD, Colorado All Payer Claims Database, Controlling Costs, Cost Transparency, Health Reform, Price Transparency, Triple Aim, All Payer Claims Database
For 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.
Apr 19, 2016 | 0 comments | Posted by Global Administrator
Public Health, Colorado All Payer Claims Database
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.
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.
Jun 6, 2016 | 0 comments | Posted by Global Administrator
CO APCD, Colorado All Payer Claims Database, Cost Transparency, Price Transparency, Triple Aim, All Payer Claims Database
Introduction to the series, and administrating the Colorado All Payer Claims Database (CO APCD).
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