Listen. Learn. Discuss. Transform health care.
Change Agents across Colorado and the nation are doing remarkable things to change the trajectory of health care. Here is a collection of recordings, presentations, and Chats that highlight the amazing work being done as well as provide crucial information and education to move us all toward the Triple Aim.
In 2019, the Change Agent Chat series became a podcast. Click here to listen and subscribe!
Webinar Series: Data to Drive Decisions
(recorded September 21st, 2023) A recent analysis using claims from the CO APCD shows that Coloradans receive 2 million Low Value Care services annually resulting in $134M in spending. Understanding and addressing Low Value Care is complex and multifaceted, and often involves joint decision-making between patients and providers. Learn more about Low Value Care Services in Colorado, and hear from physician champion, Lalit Bajaj, MD, MPH, from Children’s Hospital Colorado about best practices and challenges in addressing Low Value Care.
(recorded June 22nd, 2023) The Colorado General Assembly provides $500,000 annually to help offset the cost of licensing non-public data from the Colorado All Payer Claims Database (CO APCD) for eligible organizations. Learn how to access the scholarship funds, and hear uses cases from former recipients.
(recorded May 25th, 2023) The Community Dashboard helps Change Agents across the state and nation understand how different aspects of health care – cost, utilization, access to care, and quality – vary across Colorado communities. The latest iteration of the Community Dashboard is now available and contains important trend information from 2013-2021.
Cari Frank and Doug McCarthy discuss the latest iteration of the dashboard, including initial statewide findings. Additionally, hear how Local First Foundation, a collaborative in La Plata County that is part of Peak Health Alliance, has come together to address health and health care in their community and how they are using the Community Dashboard and other data sources to benchmark and track their progress.
(recorded April 20th, 2023) Social factors such as race, education, income, housing, and transportation can have a major impact on a person’s ability to live a healthy life and play a powerful, fundamental role in health outcomes and health equity for individuals and entire communities.
The Health Equity Analysis shows the relationship between key social factors and access and use of health care services that can impact a person’s health. Learn more about how and why this tool was created, insights we've uncovered so far, and how communities can use this tool to move toward greater health equity for their residents.
(recorded February 23rd, 2023) CIVHC's Provider Payment Tool shows how payments made to providers vary across Colorado. Based on legislation passed in the 2022 session, the tool includes codes for thousands of services (CPT and HCPS) and was developed using claims information from the CO APCD.
CIVHC staff presents on how consumers, providers, payers and others can use the tool to understand how payments differ depending on where the service took place, which insurance payer was involved, and the type of doctor who provided the service.
(recorded January 19th, 2023) CIVHC presenters Clare Leather, MPH, Emma Anderson, MA, and OeHI Senior Project Manager, Ashley Heathfield to discuss how Coloradans are using telehealth services based on data from the CO APCD. Additionally, hear how the Office of e-Health Innovation is taking multiple approaches to continue to increase access to telehealth services and reduce health equity barriers that exist in the state.
(recorded October 20, 2022) In conjunction with the State of Colorado and other partners, CIVHC is using CO APCD data to identify evidence-based opportunities to improve the quality of end-of-life care while reducing costs. CIVHC presenters, Kari Degerness, MBADirector of Health Care Programs, and Megha Jha, MPH, Health Care Reporting Analyst discuss their analysis that is aiming to increase access to hospice and palliative care services that are known to improve quality of life for both patients and caregivers. During this webinar members of CIVHC’s Analytic and Reporting as well as Advance Care Planning teams will present findings of the analysis.
Using Data to Reduce Low Value Care
(recorded September 22, 2022) CIVHC presenter Tim Ginader and Virginia Health Information CEO, Kyle Russell, team up to provide an overview of Low Value Care Services in Colorado and strategies being implemented by providers in Virginia to reduce these potentially harmful and costly services.
(recorded August 25, 2022) CIVHC presenters, Kristin Paulson, Chief Operating Officer and General Counsel, and Cari Frank, VP of Communication and Marketing present on the Colorado All Payer Claims Database. After a decade of enhancements and learnings, discover how the database has grown and how a wide variety of Change Agents are benefiting from the information to make decisions that are improving the lives of Coloradans.
Shifting from Fee-for-Service in Colorado: The Primary Care Payment Reform Collaborative and Alternative Payment Models
(recorded July 21, 2022) CIVHC is joined by presenters Chris Kennedy, House District 23, Colorado State Representative, David Keller, MD., University of Colorado School of Medicine and Children’s Hospital Colorado, Professor and Vice Chair, Tara Smith, Division of Insurance, Primary Care and Affordability Director, Trevor Abeyta, Colorado Department of Health Care Policy and Financing, Payment Reform Section Manager. Together they work to provide provide an overview of Alternative Payment Models (APMs) in Colorado, challenges and successes, and recent APM legislation.
Using Data to Understand Physician Practices and Optimize Patient Outcomes
(recorded June 23, 2022) Change Agents from Icon Health, AHRQ and NORC at the University of Chicago join CIVHC to discuss the different ways they are using data to understand physician practices in Colorado, as well as improving patient outcomes specific to orthopedic care. Presenters Jennifer Smith, Ph.D., Principal Data Scientist from NORC and Herbert S. Wong, Ph.D., Director of Statistical Research and Methods at AHRQ discuss their initiative to address gaps in current physician and physician practice data through the development of a research database. Duncan Sibson, MBA, COO and CO-Founder of Icon Health, discusses the complexities of health care and the opportunity to implement value stream mapping to improve patients outcomes and experiences.
Protecting Patients from Surprise Bills: Colorado's Out-of-Network Law
(recorded April 21, 2022) Learn more about how Colorado legislation is protecting patients from surprise out-of-network bills. In 2019, Colorado passed HB19-1174 establishing payment limits for out-of-network health care visits. Since then, CIVHC has worked closed with payers, providers, and the Division of Insurance (DOI) to provide annual CO APCD datasets to support implementation of the bill. Presenters, Jill Mullen, Policy Advisor for the Division of Insurance along with CIVHC's Pete Sheehan, VP of Client Solutions & State Initiatives and Paul Timmerman, Manager of Reporting and Analytics provide an overview of Colorado's out-of-network legislation rules and regulations, updates to Colorado's law based on the Federal "No Surprises" Act. Additionally, the presenters discuss challenges and solutions to using and refining claims data from the CO APCD.
Impact of Insurance Churn on Young Adults with Schizophrenia
(recorded March 31, 2022) Learn the results of recent research conducted by Janssen Scientific Group Director, Jacqueline Pesa, MSEd, PhD, MPH, and SmartAnalyst Inc. Senior Director, Eros Papademetriou, aimed at better understanding the impact of health insurance coverage on young adults diagnosed with schizophrenia. This webinar will cover how claims data supported the research, the frequency, speed, and types of insurance churn that occur in young adults with schizophrenia who are covered by commercial insurance at diagnosis. Health care costs and resource utilization both before and after diagnosis will also be addressed.
Curbing Prescription Drug Costs in Colorado
(recorded February 17, 2022) Prescription drug costs continue to rise in Colorado, and represent one of the biggest health care cost drivers. To address rising costs, SB21-175 was passed establishing a Prescription Drug Affordability Review Board (PDAB). Presenters Kristin Paulson, CIVHC Chief Operating Officer, is joined by Lila Cummings, DOI Prescription Drug Affordability Director, and Callie Shelton, DOI Prescription Drug Affordability Board Policy Analyst. Together, they discuss trends in prescription drug costs in Colorado, including drug rebates, and primary areas of focus for the PDAB in the upcoming years.
Updated Shop for Care and Consumer Billing Resources
(recorded January 20, 2022) Presenters Adam Fox, Deputy Director with Colorado Consumer Health Initiative (CCHI) and Maria de Jesus Diaz-Perez, PhD, Director of Research and Performance Development at CIVHC, share how to use CIVHC's updated Shop for Care tool to access high value providers, and learn about resources available to them to help navigate their health insurance and understand their bills.
Investigating the Impact of COVID-19 on Health Systems and Medicare Patients
(recorded December 16, 2021) Presenters David Cutler, PhD, with Harvard University and Kaushik Ghosh, PhD, with the National Bureau of Economic Research share their research on the impact of COVID-19 has had on morbidity and mortality for Medicare beneficiaries.
COVID-19 Research Revealed: Mental Health as a Predictor of Illness & Impact of Long-Haul Cases
(recorded November 18, 2021) Presenters discuss their research relating to how mental health social factors increase the risk for COVID-19 and initial results on the long-lasting health impact of contracting the virus.
Better Through Benchmarking: Local and National Data to Help Improve Communities and Lower Costs
(recorded October 21, 2021) The presenters cover new statewide resources available for counties and regions and how Colorado compares to the nation on important measures that impact the health and well-being of Coloradans through the Commonwealth Fund Scorecard.
Understanding the Importance of Continuous Health Insurance for Access to Care
(recorded September 16, 2021) Presenters Sarah Gordon, PhD, and Beth Martin discuss their research results on a variety of analyses including the impact of the ACA on continuity of coverage among those in Marketplace coverage and Medicaid, and Medicaid churn patterns before COVID-19 and during the public health emergency.
Reference Based Pricing & Data to Support Employer Alliances
(recorded August 19, 2021) Employers across Colorado are joining together to address the high cost of health care and data is helping them make informed decisions. These employer purchasing alliances, as well as individual large employers, are using data from the Colorado All Payer Claims Database (CO APCD) to shed light on ways to improve the health of their employees while lowering premiums and out of pocket costs. In this webinar, learn how this information from the CO APCD is supporting employers on their journey to advance the Triple Aim of better health, better care and lower cost.
Improving Population Health
(recorded July 15, 2021) It is impossible to manage what you cannot measure, especially when it comes to population health. In this webinar, the CIVHC team showcases two interactive tools to help Change Agents get better insight into the health care of Colorado communities on both the county and Division of Insurance levels. The Community Dashboard contains metrics ranging from cost of care, healthy non-users, and preventive screenings, while the Low Value Care Report provides a glimpse into the top services in each region that could be potentially harmful and drive unnecessary cost and utilization.
Resources to Chart COVID's Impact in Colorado
(recorded June 17, 2021) It is nearly impossible to understate the impact of COVID-19 on every facet of life in Colorado. In this webinar, CIVHC looks at three COVID-related analyses that helped inform different aspects of the pandemic as everyone worked together to predict the impact, minimize the risks, and continue to serve the health care needs of Coloradans. CIVIC overviews analyses completed on: high risk populations, impact of elective procedure cessation, and trends in telehealth utilization.
CO APCD Contents & Race and Ethnicity Data
(recorded May 20, 2021) In this webinar, viewers are provided an overview of CIVHC and its mission to improve the health care landscape. Viewers learn about Colorado's most comprehensive source of health care insurance claims information with the Colorado All Payers Claims Database (CO APCD) as well as how it can be further utilized. The speakers also address current and future race/ethnicity and socioeconomic data collection.
Webinar: Evaluation for Community-Focused Organizations
(recorded 12/01/2022) CIVHC Evaluation Analyst, Valerie Garrison, MES and Kari Degerness, MBA, LNHA, Director of Health Care Programs present on how CIVHC's Program Evaluation can support community focused organizations. The presenters provide an overview of CIVHC's services, discuss financial sustainability through evaluation, and other methods to improving community health.
Webinar: CIVHC Evaluation Services
(recorded 9/08/2022) Program evaluation is a powerful way to measure outcomes, make decisions, improve program effectiveness, demonstrate successes, and plan for the future. Evaluation services from CIVHC can help your organization improve your programs in many ways, including: full-scale program evaluation; data collection, monitoring, and analysis; evaluation support in grant writing and reporting; staff training; and capacity building.
Webinar: Telehealth in Colorado
(recorded 9/30/2020) The COVID-19 pandemic has the potential to indefinitely change how health care is delivered, accessed and paid for. Expanded use of telehealth services is just one aspect of care that can greatly impact cost, care and outcomes long-term. Access this webinar for a walk-through of CIVHC's new Telehealth Services Analysis and to learn about trends and opportunities to improve access to care in these times.
Webinar: Explore Advance Care Planning
(recorded 4/22/2020) The COVID-19 pandemic has made advance care planning a more pressing issue for many Coloradans. While there’s much we can’t control, we can make informed decisions to give the people closest to us the power to confidently make health care decisions for us in the event that becomes necessary. All adults should make time for these conversations, but they’re especially important for those who are over 60 years old and are living with chronic health conditions such as heart, lung or kidney disease or cancer. Listen to this webinar to explore this topic further, featuring Melissa Davis, a licensed clinical social worker with The Denver Hospice and Optio Palliative Care.
Webinar: Advance Care Planning Overview (NHDD)
(recorded 4/16/2020) National Health Care Decisions Day (NHDD), held annually in April, is an initiative to encourage people to express their wishes regarding healthcare and for providers and facilities to respect those wishes, whatever they may be. It’s important to understand that NHDD is not only about end-of-life care but is meant to reach a much broader spectrum so that every individual may have their healthcare wishes met. In this webinar recorded on this year's April 16th event, Hilary Lum, MD, PhD, will provide an overview of Advance Care Planning, why it is important for everyone and how to get started, or continue, on your Advance Care Planning journey.
Webinar: Top 10 Things to Know About The MOST Form
This is a brief overview of the 10 things you should know about the MOST form (Medical Orders for Scope of Treatment). In this 30 minute webinar Hillary Lum, MD, PhD, will highlight the key things that social workers, administrators, admissions/sales team, providers and others should know when working with the MOST.
Creating County Level Profiles to Facilitate Community Assessments
Public Health in the Rockies Session, August 28, 2019
Data doesn’t have to be scary or intimidating, but in a world where we are inundated with information, it’s often difficult to know where to start. This session will teach you to use free, publicly available, cross-sector data to build profiles of your target population, allowing you to focus your efforts, dive deeper into possible correlations, design effective interventions, and track progress towards achieving your health outcomes goals.
CIVHC Connect: Caring and Preparing for Serious Illness
February 22, 2019
Serious illness will affect us all, either personally or through loved ones, at some point in our lives. Preparation and knowledge of the nuts and bolts can provide comfort in a scary situation. As Change Agents, there are also ways we can improve the system to support those going through serious illness.
CIVHC Connect: Dollars and Sense
November 13, 2018
In November 2018 CIVHC brought together Change Agents from across the nation to change the conversation.
Dollars and Sense was a day-long event featuring new data and analysis from local and national leaders in health care transparency and cost containment.
- Network for Regional Healthcare Improvement / CIVHC - Total Cost of Care
- CIVHC - Public Reporting and Consumer Shopping Tool
- Catalyst for Payment Reform - Colorado Scorecard
Webinars and Meetings
- Project Angel Heart Impact Study - Sept. 2018 - Video / Slides
- Determining Health Care Pricing Reasonableness (hosted by CBGH) - June 2018 - Recording / Slides / Handouts
- CIVHC Connect: Public Reporting - May 2018 Video / Slides / Handout
- Total Cost of Care in Colorado Spot Analysis Webinar - March 2018
- CIVHC and National Leaders Discuss Health Care Quality and Cost Drivers Meeting - October 2017
- Total Cost of Care Project Physician Practice Webinar - December 2016
Change Agent Chat Series
- Colorado Chronic Care Collaborative - Costs for Specialty Drugs for Chronic Conditions - December 2017
- Catalyst for Payment Reform - Scorecard on Payment Reform - November 2017
- Graduate students at Duke University. - Competition in the Health Insurance Exchange - October 2017
- Brigham and Women’s Hospital - Skin Cancer Prevalence in Colorado and Across the Nation - September 2017
- Denver Regional Council of Governments - Making the Data Case for Senior Care - August 2017
- DAWN Clinic - Aurora’s Underserved and Anschutz’s Hopefuls Come Together at DAWN Clinic - July 2017
- Aurora Mental Health Center - The Chambers Hope Health and Wellness Clinic - May 2017
- Colorado Public Employees’ Retirement Association - Bundles for Colorado’s Hips and Knees - April 2017
- HopeWest - Hospice Care with Heart on the Western Slope - March 2017
- Southeast Health Group - Health Navigators Help Lower Costs - February 2017
- University of Colorado Denver Health and Behavioral Sciences Department
- Brown University Student
- Northwest Colorado Community Health Partnership
- Coalition to Transform Advanced Care
- Peterson Center on Healthcare
- Aurora Health Access
- The Commonwealth Fund - Health System Scorecards - May 2018 (Audio Only)
- Children's Hospital Colorado - Improving Care for Medically Complex Children - May 2018 (Audio Only)
- Dispatch Health - Health Care that Zooms: In Home, On Demand Acute Care - April 2018 (Audio Only)
- University of Texas - Understanding the Impact of Hospital and Payer Negotiations - March 2018
- Quality Health Network and the Community Resource Network - February 2018
- Colorado Chapter of the American Physical Therapy Association - Understanding Physical Rehabilitation Service Utilization and Cost - January 2018