According to Jonathan Mathieu, CIVHC Vice President for Research and Compliance, this project is important in that, "For the first time, Colorado physician groups can see how the costs of and resources used in treating their patients compare to state-wide averages.
For more information about CIVHC's work in Phase I of the TCoC project, go to: http://www.civhc.org/Voices-On-Value/May-2015/Comparative-Performance-Data-for-Physicians-An-Imp.aspx/
CIVHC (civhc.org) is a nonprofit, nonpartisan organization that helps Colorado identify ways to pay for, deliver and select high value health care.
Although CIVHC has the data from managed behavioral health organizations (MBHOs), it's encounter data and not in the warehouse with other all payer claims, said Sonn.
Plans are for Colorado consumers to have a price comparison available later this year for common medical procedures, said Jonathan Mathieu, director of data and research for CIVHC. "The consumer can enter a search code, and find providers and costs in their area." For uninsured patients, the metrics will include median charges, what Mathieu terms "a starting point for negotiation." Contract terms between payers and providers will be masked.
CIVHC has kept the behavioral health community in the loop, said Sonn.
The work groups reported well developed analysis and ideas about implementing effective approaches, concepts, and systems for consuming, delivering and taking responsibility for health at the recent CIVHC meeting.
Jay Want (family physician) and Dori Biester (former CEO at Children's Hospital) are heading up the organization of CIVHC. They are thoughtful, well prepared, and determined to fulfill the mission.