Colorado

Colorado was an early adopter of the patient-centered medical home (PCMH) model of care delivery. In 2007, Colorado passed Chapter 346 which required the Colorado Department of Public Health and Environment  (CDPHE) to increase the number of children served by medical homes. In 2009, Colorado launched one of the earliest multi-payer medical home pilots which ended in 2012 and resulted in many improvements both in costs and health outcomes.  

In 2011, Colorado Medicaid launched the Accountable Care Collaborative with seven Regional Care Collaborative Organizations (RCCOs) to coordinate care statewide. Of these RCCOs, 18 are managed by community-based organizations that build on unique local strengths to address local needs. 

Colorado continues to expand its health care reform efforts using a foundation of strong primary care and the integration of behavioral health. The CDPHE and the Colorado Department of Health Care Policy and Financing (HCPF) have jointly established the Colorado Medical Home Initiative to serve as a clearinghouse of information for the medical home approach in Colorado. 

 

CHIPRA: 
Yes
MAPCP: 
No
Dual Eligible: 
Yes
2703 Health Home: 
No
CPCi: 
Yes
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
5,294,200
Uninsured Population:
13%
Total Medicaid Spending FY 2013: 
$5.1 Billion 
Overweight/Obese Adults:
56.4%
Poor Mental Health among Adults: 
35.3%
Medicaid Expansion: 
Yes 
CPC+: 
CPC+

National Meeting on Increasing Investment in Primary Care

on Mon, 2018-11-26 14:32   Allison

FMAHealth in collaboration with the Patient Centered Primary Care Collaborative (PCPCC) sponsored, the first national conversation on increasing investment in primary care on November 9, 2018. The workshop followed the PCPCC’s Annual Conference where a broad audience was educated about the importance of increased investment in primary care. Alex Azar, Secretary of Health and Human Services, spoke about the importance of primary care and ways in which CMMI would be moving forward with alternative primary care payment models.

Story Date: 
November 26, 2018
Source Link: 
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PCPCC Executive Member Workshop: Investing in Primary Care – Advancing a National Strategy

2018-11-09 08:00
Immediately following the Annual Conference, PCPCC will host a workshop to raise the visibility and build the case for increasing the investment in primary care in states and nationally to improve health care quality and affordability. Primary care typically makes up a relatively low proportion – approximately 5-8 percent of total health care spending in the U.S.  Outside of the primary care community, policy leaders are generally uninformed about the level of under-investment in primary care.
Register and Learn More!
Announcement Type: 
PCPCC
Conference

Open Wide: Medical Education With Real Teeth

on Tue, 2018-07-10 09:46   Giovanny

Untreated oral health issues can wreak havoc on health and well-being, yet medical schools have historically taught little about them. Now, some leaders are determined to change that.
None

Oral health problems can cause horrible pain and great expense. What’s more, research suggests there are connections between an unhealthy mouth and a range of systemic health issues, including stroke, heart disease, preterm labor, and the progression of diabetes.

Story Date: 
July 10, 2018
News Author: 
Kim Krisberg
Source Link: 
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Colorado - HB18-1365 Primary Care Infrastructure Creation

The bill establishes a primary care payment reform collaborative in the primary care office in the department of public health and environment. To facilitate the collaborative's work, the administrator of the all-payer health claims database is to report data on primary care spending by private health insurers, insurers providing state employee health benefit plans, and the department of health care policy and financing under the state medicaid program and the children's basic health plan.

Colorado Comprehensive Primary Care Plus Initiative

Comprehensive Primary Care Plus (CPC+) is a national advanced primary care medical home model that aims to strengthen primary care through regionally-based multi-payer payment reform and care delivery transformation over a five year period. CPC+ is a unique public-private partnership that gives practices additional financial resources and flexibility to make investments, improve quality of life, and reduce the number of unnecessary services their patients receive. Centers for Medicare & Medicaid Services (CMS) is partnering with 61 aligned payers in 18 regions.

Is Direct Primary Care a Game Changer?

on Thu, 2018-05-03 11:00   Allison
Denver family practice physician Lisa Davidson, DO, ran a fee-for-service practice for 8 years, her only staff a physician assistant who was also a social worker. By 2011, her practice had grown to 6000 patients, and her rent was about to soar.
Story Date: 
May 2, 2018
News Author: 
Rita Rubin
Source Link: 
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Primary care is a home run for both sides of the aisle

on Wed, 2018-04-25 16:41   Allison

In 2008, Billy Beane, former Speaker Newt Gingrich (R-Ga.), and former Sen. John Kerry (D-Mass.) argued in the New York Times that health care in the United States was overpriced and underperforming. A bipartisan policy has emerged to address this problem — focus on paying for value not volume, with the Medicare Access and CHIP Reauthorization Act as the latest manifestation of this strategy.

Story Date: 
April 25, 2018
News Author: 
Ann Greiner
Evan Saulino
Source Link: 
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To Curb Rising Health Insurance Costs, Some States Try 'Reinsurance Pools'

on Mon, 2018-04-09 14:55   Allison

A couple of years ago, the health insurance exchange in Minnesota – MNsure – was in deep trouble. Health insurance premiums for individual policies had shot up by as much as 67 percent, among the steepest increases in the country.  Insurers were abandoning the market, leaving 116,000 Minnesotans with scant choices.

Story Date: 
April 9, 2018
News Author: 
Michael Ollove
Source Link: 
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Beyond QI: Why "Learning Organization" Competencies Matter

2018-04-18 13:00

As in medicine, there is both art and science to quality improvement. One of the defining characteristics of successful modern companies (think Toyota or Virginia Mason) is their transformation as learning organizations. During this round table discussion, we will explore what it means to be a learning organization; how performance improvement as a core system property - systems, practice, and expertise - is foundational to high quality, high efficiency, and patient centered care.

Learn More and Register!
Announcement Type: 
Training

Godfather of the Patient Centered Medical Home movement joins nonprofit HealthTeamWorks

on Fri, 2018-03-02 11:27   Allison

Paul Grundy, MD, MPH FACOEM FACPM, the "godfather" of the Patient Centered Medical Home movement and member of the Institute of Medicine, was hired by HealthTeamWorks as the Global Director of Healthcare Transformation. Paul joins the organization from IBM where he served as Chief Medical Officer for IBM's Healthcare and Life Sciences Industry and developed strategies on transformation initiatives in the healthcare industry.


Story Date: 
February 28, 2018
Source Link: 
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