New Ways to Evaluate the Value of Care Coming Soon
By: Bob Kershner, CIVHC Director of Health System Payment Strategies
 In the near future, CIVHC will be able to measure the cost and the quality of care by facility based on everything associated with a particular service or procedure, also known as an "episode." Based on claims data from the Colorado All Payer Claims Database (APCD), reports on these episodes will give payers, providers and facilities new ways to evaluate the value of the care they are providing. This type of analysis is critical to moving away from our current pay for volume model to a more patient-centric and value- based payment model where outcomes and lower costs reign supreme.
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 A Dangerous Malfunction in the Measure of Readmission Reduction
From Medicaring.org, August 2014
The broadest and arguably most effective health care quality reform in place is the multifaceted targeting of readmissions. That goal is at risk of turning into a black eye for improvement endeavors due to faulty statistical recognition of how total systems change in response to improvement efforts.
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ER Visits on the Rise Due to Medicaid Expansion
From FierceHealthcare, September 2014
Emergency room visits are on the rise in states that expanded Medicaid, according to a nationwide study conducted by the Colorado Hospital Association (CHA).
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A Comparison of How Four Countries Use Health IT to Support Care for People with Chronic Conditions
By: Julia Adler-Milstein, Ashish Jha, Nandini Sarma, Liana R. Woskie
From The Commonwealth Fund, September 2014
The Commonwealth Fund analyzed how four high-income nations-Australia, Canada, Denmark, and the United States-are using health information and communications technologies (ICTs) to manage care for chronically ill patients. Four key themes were: 1) national strategies start at a regional level; 2) each country struggles with clinical information transmission between care settings; 3) telehealth approaches are not widely used or well-integrated; and 4) clinical data are being made available to patients, but are not being used to engage patients in their own care.
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 City of Longmont Aims to Reduce Unnecessary ER Visits Through Primary Care Intervention and HIE From CORHIO E-newsletter, August 2014
The Longmont Community Health Network is a community-based health collaborative that recently received a grant from the Colorado Health Foundation to improve care for patients in the community who are having a difficult time managing their health conditions. Often these patients rely on the emergency department for care, when their primary care physician would be a better option. The Health Network is working to connect these patients with a more appropriate source of care.
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