CIVHC to Support Initiative Highlighting Health Plan Progress Toward Alternative Payment Models

DENVER – October 24, 2017 –Catalyst for Payment Reform (CPR) has selected Colorado and state-sponsor, Center for Improving Value in Health Care (CIVHC), as one of three states in the nation to participate in their work to assess efforts to reign in health care costs. As a sponsor, CIVHC will leverage data from the Colorado All Payer Claims Database (CO APCD) and work with the Colorado Association of Health Plans and health insurance payers across the state to understand the impact new payment models are having on quality and cost of care.

CPR is an independent, nonprofit corporation working to catalyze employers, public purchasers, and others to implement strategies that produce higher-value health care and improve the functioning of the health care marketplace. CPR’s State Scorecard on Payment Reform 2.0 continues CPR’s evaluation of payment reform implementation at both the state and national levels; with six Scorecards released since 2013. This is the first time Colorado has been selected to participate in the Scorecard survey.

“We selected Colorado because its track record creating and executing initiatives to improve quality, help contain costs, and enhance transparency in health care,” said Suzanne F. Delbanco, PhD., Executive Director of CPR. “We are excited to partner with CIVHC and Colorado’s health plans on this pioneering Scorecard and hope the results will bolster efforts to make health care better and more affordable for the citizens of Colorado.”

“CIVHC is tremendously excited and honored to support Colorado health plans in such an important effort,” notes Ana English, CIVHC President and CEO. “Payers and other stakeholders in Colorado have made incredible strides in advancing health care, improving outcomes, and lowering costs, and CIVHC is proud to help them get recognition at a state and national level for their work.”

Scorecard 2.0 incorporates new methods of tracking states’ progress by assessing not only how much and what types of payment reforms health plans have implemented, but also whether these payment reforms are having their intended impact on the quality and costs of health care on a macro-level. CPR believes that to be considered value-oriented, payment innovations must include a quality component. To that end, Scorecard 2.0 will measure the proportion of health care payments in both the commercial and Medicaid sectors that meet CPR’s two-pronged definition of “value-oriented:”

  1. Payment that reflects the performance (especially the quality and safety) of care that providers deliver; or
  2. Payment methods that are designed to spur efficiency and reduce unnecessary spending.

Grants from the Robert Wood Johnson Foundation and the Laura and John Arnold Foundation support the development and piloting of Scorecard 2.0. Over the summer, CPR conducted a nationwide search for states and organizations to participate in the project and they anticipate releasing results of the survey in August 2018.

Since inception, CIVHC has actively worked with key stakeholders to expand the prevalence of new payment models designed to lower costs and improve care throughout the state. “We believe,” states English, “that the information garnered from the Scorecard will spur further improvements toward the Triple Aim, and help health plans and stakeholders identify additional ways to implement high-value health care for all Coloradans.”

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About CIVHC
CIVHC (civhc.org) is an objective, not-for-profit organization that empowers individuals, communities, and organizations advancing the Triple Aim of better health, better care, and lower costs through data and collaborative support services. We believe that together we can alter the trajectory of health care and we are privileged to serve those striving toward a better health system for us all. Through services, health data, and analytics, we partner with Change Agents to drive towards the Triple Aim for all Coloradans.

About the Scorecards
To learn more about the Scorecard 2.0 project, please listen to CPR’s Listening In podcast featuring CPR’s Program Director and Scorecard 2.0 lead, Andréa Caballero, MPA, and Andrea Ducas, Program Officer at the Robert Wood Johnson Foundation.

Categories: News

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