Every CIVHC publication is aimed at serving, engaging, educating, or amplifying Change Agents, thereby highlighting their good work and providing necessary information and tools to help them move forward.

Emergency Department Use for Mental Health Reasons

Released: December 2019
Download the underlying data
Download the infographic

The Emergency Department (ED) Mental Health-Related report provides stakeholders the opportunity to compare utilization and cost metrics for ED visits with a primary diagnosis of mental health among Medicaid, Medicare Advantage and Commercial payer eligible populations for Division of Insurance regions and Colorado as a whole. Coloradans living with mental illness don’t always have access to comprehensive services or seek timely care to support their needs. In spite of excellent work across the state to reverse that trend, the Emergency Department (ED) remains a source of support for many suffering from potentially preventable mental health crisis.

Data Byte: Low Birthweight and Birth Outcomes

Released: December 2019
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This analysis presents the number and count of deliveries and births that occurred between 2014-2018 for Commercially insured and Medicaid insured members in the Colorado All Payer Claims Database (CO APCD). It also describes overall trends in the number of newborns who were in the NICU, had low birth weight or were premature/preterm. The purpose of the report is to describe health outcomes of newborns.

Data Byte: Emergency Department Facility Payments

Released: August 2019
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This Data Byte identifies how much commercial health insurance payers and patients pay for the Evaluation and Management (E&M) facility portion of an Emergency Department (ED) visit.  ED visits typically include an E&M facility component that corresponds to the severity level of the visit – ranked from low to high. These payments only represent a portion of what is billed for an ED visit and do not include amounts for other services which may be performed during the visit such as lab tests, imaging services, surgical procedures, or other fees that may be billed directly by the ED physician or provider.

Quality Measures: Diabetes A1c Testing and Breast Cancer Screening

Released: August 2019
Download the Quality Measures Summary
Download the Excel Data File

As part of the Qualified Entity Certification Program (QECP), CIVHC has developed information for Breast Cancer Screening and Diabetes A1c testing using Medicare Fee for Service (FFS), Medicaid, Commercial and Medicare Advantage claims data from the Colorado All Payer Claims Database (CO APCD). The two quality measures are based on nationally endorsed specifications, and can be used by public health agencies, providers and others to understand variation in quality and improve care for Coloradans.

Regional Price Variation For Common Procedures

Released: July 2019
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In Colorado, prices for common health care services vary across regions, and frequently, the regions with the highest and lowest prices are not consistent when comparing different services. The map below illustrates regional variation for 11 common services. This information can help communities understand how their health care prices compare to other areas across the state.