Supporting Providers Making Care More Affordable Care

A better health system will give providers the tools to deliver high quality, lower cost care.

Managing the details is impossible if one can’t see the whole picture. Often, providers do not have a global view of their practice, much less the ability to benchmark themselves to their peers locally and across the nation. Actionable data enables providers and practitioners to make adjustments in treatment patterns that could result in more efficient use of health care resources and spending.

Spot Analysis: Total Cost of Care in CO

Released: February 2018
Download here

This Colorado-specific report includes findings from the multi-state Getting to Affordability: Untangling Cost Drivers publication comparing Colorado to the other participating states, and includes additional analysis and insights into regional cost and utilization variation highlighting opportunities within the state. Results from the study found that Colorado’s total costs across all health care services were 17% higher than other states.

Total Cost of Care Project

In partnership with the Network for Regional Healthcare Improvement (NRHI) and funded by the Robert Wood Johnson Foundation, CIVHC is in its third year of collaborating with six states to establish standard ways of investigating variations in health care costs and resource use.

Through this project, CIVHC provides reports to over 100 Colorado-based adult and pediatric primary care practices that include information on the total cost to treat patients annually and what portion of costs were driven by volume of services vs. prices. The information on price, utilization and total cost is broken down by inpatient, outpatient, professional and pharmacy services to give physician groups a better idea of the types of services driving their results. All results are risk adjusted based on the health status of attributed patients to address the concern that one physician practice may treat a “sicker” group of patients thereby allowing meaningful comparisons of utilization (Resource Use) and total costs.

The scatterplot shows where medical service use (RUI) and the prices paid for care (PI) of participating practices fall in relation to other practices and the statewide average. The intersection of the horizontal and vertical lines indicates the statewide average for both measures. High performing practices will have low values for both price index and resource use and occupy the lower left quadrant.

As one of seven states participating in this project, Colorado has a lot to gain from the analysis. This information is invaluable as it provides physicians with data they’ve never had which helps them identify ways they can lower costs and improve care for their patients.

Webinar: Colorado Results from the 2018 Total Cost of Care Multi-State Project

In March 2018, CIVHC hosted a webinar to discuss the Colorado-specific report including findings from the multi-state publication Getting to Affordability: Understanding Cost Drivers. Click to view a recording of the webinar or here to view the slides from the presentation.