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Why Does CIVHC Release Health Care Price Information? As administrator of Colorado All Payer Claims Database (CO APCD), the state’s most comprehensive healthcare claims database, and as part of the legislative intent of the CO APCD, Center for Improving Value in Health Care (CIVHC) provides facility-specific price and quality information for free! Imaging Prices Now […] Read Article
The verdict is in: Colorado Court Ruling Supports Reference-Based Pricing The Referenced-Based Pricing (RBP) reimbursement model in health insurance (does not include Rx, by the way) is an evolving self-insured plan/claim cost control model that has been in the market in various forms for about a decade. While there are some true believers in this […] Read Article
Kim Bimestefer, Executive Director, Department of Health Care Policy and Financing presented at the June 14th CBGH Strategy Session at the Denver Metro Commerce and announced they have two job openings! Read Article
A new multi-state study shows Colorado could save more than $48 million annually across 102 adult primary care practices if prices for health care services were closer to the average across Colorado’s participating practices. Results found that Colorado’s total costs across all health care services were 17% higher than other states, and substantially higher with respect to […] Read Article
The Colorado Business Group on Health (CBGH) is pleased to announce that the State of Colorado has joined CBGH as a purchaser member. As a non-profit, multi-stakeholder coalition led by Colorado-based employers seeking to improve healthcare quality and cost trends, CBGH has provided market research and summaries as well as strategies and tools that support […] Read Article
“A problem well stated is a problem half-solved.” Charles Kettering Clearly health care presents both significant challenges, as well as opportunities for employers as health care purchasers. With wide, wild, and apparently unwarranted variations in both provider pricing and quality (the two components of “value”), the opportunity to improve the value proposition of health care […] Read Article
Our Theme and Commitment for 2018 The opportunities to make health care work better for all Coloradans – better clinically and more affordably for patients, better financially for purchasers, better professionally and administratively simpler for providers, and better economically for communities – are both numerous and significant. And, though illusive, they are achievable. To realize […] Read Article
Employers who wish to improve the value-proposition of health care for both their employees and themselves must address both the supply and the demand variables in the equation. In the final part of this series on the Healthcare Value Problem, we’ll discuss two strategies that purchasers can use to buy more health, not more healthcare: […] Read Article
In Part One of this three-part series, I argue that employers must distinguish between results and causes in order to avoid feeling helpless in the face of healthcare’s intimidating complexity. Employers – who finance our commercial health market – must get to the root cause. To do this, we must start by conducting a root cause analysis. […] Read Article
Bob Smith, Executive Director In our recent survey, CBGH members unanimously agreed with the statement, “Overall, we’re as concerned about the quality of care our employees receive as the costs.” I take them at their word. Aside from the fact that Colorado employers pay so dearly for healthcare[1], employers clearly have a vested interest in […] Read Article
In 2016, an employer-sponsored PPO health plan for an American family of four cost an average of $25,826 – an eye-popping three-fold increase over 2001 when it was $8,414. That is the key finding recently released in the medical index report assembled by Milliman, a global consulting actuary. But it is not the only significant observation Milliman makes. Others include: Although the […] Read Article
Dameron, Tom. “If Not Now, When? What Employers Need to Know in Order To Manage Health Costs.” Common sense is not always that common in our health care system. We have the best doctors in the world and the best medical technology in the world. Why don’t we have the best health care system […] Read Article