the colorado all payer claims database cost... · how we do it data •we administer the colorado...

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The Colorado All Payer Claims Database Data to identify variation and inform change 1

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Page 1: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

The Colorado

All Payer Claims Database

Data to identify variation and

inform change

1

Page 2: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Who We Are

• Non-profit, non-partisan organization

• Founded out of recommendation from Blue Ribbon

Commission on Healthcare Reform

and Governor’s office

• Triple Aim Mission:Better

Health

Better

Care

Lower

Costs

For

Colorado

Page 3: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

How We Do It

DATA

• We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care cost, quality and utilization claims data.

IDENTIFY OPPORTUNITIES

• We unlock information and insights that guide how health care is delivered, used and paid for.

CONNECTING

• We bring together organizations and individuals who share our cause, to design and drive collective change.

Page 4: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Stakeholders Across the

Spectrum of Care

Health Care

Providers &

Facilities

Businesses

Health Insurers

Consumers

Policy Makers &

GovernmentAgencies

Researchers

Health Care

Advocacy Orgs

Who We Do It For

Page 5: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care
Page 6: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Public Website Launched Nov 2012

www.comedprice.org

Interactive County/Zip

Level 3 Data:

Page 7: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Total Cost of Care – Medicare 2011

Page 8: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Total Cost of Care – Medicaid 2013

Page 9: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Total Cost of Care – Commercial 2013

Page 10: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Illness Burden – Medicare 2011

Page 11: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Illness Burden – Medicaid 2013

Page 12: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Illness Burden – Commercial 2013

Page 13: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

TCC Compared to Expected – Medicare 2011

Page 14: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

TCC Compared to Expected - Medicaid 2013

Page 15: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

TCC Compared to Expected – Commercial 2013

Page 16: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

TCC Compared to Expected Detail

Page 17: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

All Cause Readmissions, 30 Days – Medicaid

2013

Page 18: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Readmissions, 30 Day All Cause Detail –

Medicaid 2013

Page 19: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Inpatient Utilization Trend Graphs

Page 20: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

For all facilities displayed, including Good Samaritan and St. Joseph Hospital, prices reflect median payments made by health plans and patients. These payments

include facility, physician and ancillary payments. Prices reflect 2012 data available on www.comedprice.org.

Knee Replacement Median Price & Patient Complexity

(Commercially insured, < 65 years of age, comedprice.org)

Page 21: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Total Cost of Care By PCP

Page 22: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Total Cost of Care Comparison

Page 23: The Colorado All Payer Claims Database Cost... · How We Do It DATA •We administer the Colorado All Payer Claims Database, the state’s most comprehensive source of health care

Contact Information

• Ana English, MBA, President and [email protected]

• Jonathan Mathieu, Ph.D., VP of Research and [email protected]

Stay Connected!• Join our email list (from the www.comedprice.org or

www.civhc.org home page)

• Follow CIVHC on social media:

@CIVHC_News

Facebook.com/CIVHC

LinkedIn (linkedin.com/company/2096991)