Transcript Colorado’s APCD: Policy, Reform and Reporting

Colorado’s APCD: Policy,
Reform and Reporting
NAHDO Conference
October 25, 2012
Key CIVHC Initiatives
• Backbone Organization for Collective Impact
• Improve the Health Care Payment System
– Develop a “Framework” – analyze alternative payment
models, set a path and make the case
• Improve the Health Care Delivery System
– Palliative Care, Care Transitions/Readmissions and
System Integration initiatives
• Increase Data Transparency and Accountability
– Triple-Aim Metrics and Dashboard
– All Payer Claims Database (APCD)
• Engage Business to change Market Dynamics
Colorado APCD Timeline
• Recommendation of Blue Ribbon (208) Commission
for Health Care Reform – 2008
• CIVHC becomes an independent non-profit – 2010
• CIVHC named APCD Administrator by the Executive
Director of HCPF – 2011
• Grant funding to establish the APCD – 2011
• Contract with Treo Solutions – December 2011
• Test data submissions begin – March 2012
• Historical data submissions begin – June 2012
• Colorado APCD goes “Live” on November 1, 2012
• www.cohealthdata.org
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Initial Public Facing Reports (Tier 1)
• Interactive or Dynamic Reports
– Provide Map and Tabular views of variation in:
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Total Cost of Care and Utilization Rates
Inpatient Utilization by Service Line
Provider Access Comparison
Clinically-linked Readmissions
• Static or Snapshot Reports
– Total and High-Cost Imaging, Knee MRI, Knee
Arthroscopy and Routine/Uncomplicated Delivery
– Variation in average paid amounts and utilization rates
by blinded payer and facility
Priorities based on Stakeholder Outreach
• Chronic Disease – variation in incidence/prevalence,
costs to treat and standards of care
• Prescription drug utilization and spending
• Variation in utilization rates and allowed/paid amounts
by named Payer and Provider Group
• Incorporate quality and clinical outcome measures
• Compare the impacts of alternative payment and
delivery system models
• Provide data to support public health initiatives
APCD Enhancements – Coming Soon
• Risk and Severity Adjusted data will be available
beginning in 2013
• Public reporting in Fall 2013 will identify provider
groups and plans; developing processes for prerelease review
• Align analytics with additional data sources including
disease registries and vital statistics
• Data Release: Colorado APCD data will be available
through a data release process aligned with CIVHC’s
Triple-Aim mandate
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