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In This Issue
Physician Leadership: An Idea Whose Time Has Come?
Spotlight on Innovation: Designing Fee-For-Value Health Care in a Fee-For-Service World
Spotlight on Innovation: Designing Fee-For-Value Health Care in a Fee-For-Service World
Spotlight on Innovation: Designing Fee-For-Value Health Care in a Fee-For-Service World
Articles of Interest

Can Claims Data Crack the Health Care Cost Riddle? 


Why Consumers Can't Make Rational Health-Care Choices 


Hospital Cost, Review Data go Public 


Big Data in Healthcare: Using IT Innovation to Accelerate Value 


State Mental Health Services for Young Adults 'Inadequate': Report 


How Cigna Cultivates Bundled Payments 


Engaging Doctors in the Health Care Revolution 


The Best Antidote to Provider Market Power is to Change the Healthcare Payment System  


Safety Net Hospitals Already Seeing More Paying Patients - And Revenue 


Physician Leadership: An Idea Whose Time Has Come?

By Jay Want, MD, CIVHC Chief Medical Officer

Originally featured on WantHealthcareLLC.com.
Jay Want

Lately there have been articles in journals like JAMA and Health Affairs discussing the need for physician leadership in reshaping the system. It isn't that there hasn't been this need before. Because of the central role granted to physicians by law and by culture, we have always needed physicians to agree, explicitly or implicitly, to changes to the delivery system. Indeed, I call the last model of physician accountability for health care the "infinite power for infinite responsibility" model. Because we had no way of measuring physician performance in the last age, how else were we going to deal with matters that were literally life and death? If you are dealing with a phenomenon that frightens us all, you want to give your agents all the power you can.  

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Spotlight on Innovation: Designing Fee-For-Value Health Care in a Fee-For-Service World

 By Stephanie Spriggs, CIVHC Program Assistant


Four Centura Health hospitals in the Denver metro area and Colorado Springs are trying to do just that in concert with the Centers for Medicare & Medicaid Services (CMS).


In January 2013, CMS launched the Bundled Payments for Care Improvement (BPCI) Initiative through the Innovation Center. Hospitals, like those within the Centura Health network, that are participating in BPCI are helping CMS pilot new  payment and delivery systems built around "episodes" of care like a surgical procedure or a hospital stay for a chronic condition. Paying a hospital for an entire episode of care and developing target outcomes for the episode has the potential to mend the fractured care and high costs that many patients experience in the current fee-for-service world.  

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Colorado APCD Scholarship Fund Coming Soon

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CIVHC is pleased to announce that in the 2014 legislative session, the Colorado General Assembly appropriated $500,000 to be used by the Department of Health Care Policy and Financing (HCPF) to offset the cost of data and reports from the Colorado All Payer Claims Database (CO APCD). Funding will be available July 1, 2014, through June 30, 2015 (or until funds are depleted) on a first come, first serve basis for small nonprofits, research organizations and state agencies. Stay tuned for the official announcement detailing eligibility, types of reports that can be requested, and funding amounts. For more information, contact ColoradoAPCD@civhc.org.

Pueblo's Triple Aim Work Featured in White House Report


Pueblo Triple Aim Coalition's work using the ReThink Health model was recently highlighted in a report (see page 28) to President Obama. The President's Council of Advisors on Science and Technology featured the initiative as an example of how using systems-engineering can improve health care for entire communities. Though the work is just beginning, residents are already benefiting from the city's innovations and engagement of not only health care providers but also community resources. Using the ReThink model to evaluate each rung in the healthcare ladder from sustainable funding to access issues, leaders in Pueblo identified strategies and policies to put into action to address concerns facing the community. For more information on the Pueblo Triple Aim, read our Spotlight on Innovation or visit www.pueblotripleaim.org

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The Center for Improving Value in Health Care is a non-profit, collaborative organization supporting the Triple Aim for health care in Colorado: better health, better care, and lower costs. We would like to thank The Colorado Trust, the Colorado Health Foundation, Rose Community Foundation and Caring for Colorado for providing funding to support our organization and focus areas.