Category: Blog

Healthcare in Colorado: An Unprecedented Moment. An Unparalleled Opportunity.

In the 1960’s, Psychologist Fredrick Herzberg probed an interesting question about “Work and the Nature of Man.”  Herzberg wanted to know if removing environmental factors that dissatisfied workers would result in more satisfied and self-motivated workers.  He determined that they would not because of what became the “two-factor” theory.  Basically, he concluded that the factors […] Read Article

A Fiduciary Responsibility

The release of the Rand research report “Prices Paid to Hospitals by Private Health Plans Are High Relative to Medicare and Vary Widely” by Chapin White and Christopher Whaley represents a major step forward in enabling value-based purchasing.  MAJOR! For the very first time it allows employers to assess the reasonableness of the prices they […] Read Article

Denver Business Journal wrote ‘Innovation can be a silver bullet’

May 9, 20-19 Colorado Business Group on Health held their Annual Forum at the Hilton Denver Inverness Hotel. The line up of speakers included Lt Governor, Dianne Primavera, Kim Bimestefer, Executive Director of HCPF, David Blumenthal MD, President, The Common Wealth Fund, and Shane Wolverton, SR VP, Quantros. The article was about the Forum focus […] Read Article

State Senate Healthcare Committee Testimony!

 Bob Smith was requested by Representative Chris Kennedy to give testimony in support of HB19-1001, the Hospital Financial Transparency Bill on January 16th. This bill would require hospitals to disclose their current Medicare cost reports to the State and allow the State to evaluate why hospitals are shifting costs to employers and the degree to which […] Read Article

The Comprehensive Primary Care Initiative: The Other Side of the Story!

The final evaluation of the Comprehensive Primary Care (CPC) initiative published in Health Affairs in June described the project and “HEALTH AFFAIRS BLOG”.  Concluded that it “did not reduce Medicare spending enough to cover care management fees or appreciably improve  physician experience.” READ MORE Cited: “The Comprehensive Primary Care Initiative: Another Side Of The Story, […] Read Article

Colorado’s Fall 2018 Leapfrog Hospital Safety Grades Announced

Denver, CO – Nov. 8, 2018 – The Leapfrog Group, a national nonprofit aiming to improve health care quality for consumers, employers, and purchasers, announced today the fall 2018 Leapfrog Hospital Safety Grades. The independent grading system assigns “A,” “B,” “C,” “D” and “F” letter grades to general acute-care hospitals in the U.S. based on their […] Read Article

A Cancer on the American Dream

A recently released report with the stunning but purposeful title “Healthcare USA: A Cancer on the American Dream” details the degree to which our health care market lacks any reasonable level of reciprocal value for American consumers. Issued by Willis Towers Watson in collaboration with the Council for Affordable Health Coverage, the report shows how premium […] Read Article

Public Release of Cost data for Imaging Procedures-FAQS

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

“How We See It- Industry Updates”

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