February 2014
Contact: Center for Improving Value in Health Care
Email: ColoradoAPCD@civhc.org
Background: The Colorado Network was working with one of its network members to avoid paying higher costs to a health plan, which would force that member to increase fees.
Goal: Analyze high cost/high utilization DRGs by payer to determine appropriate rates with health plans.
Data Analyzed: Average charged, average allowed, average plan paid, average member liability for selected DRGs by Payer for Rural Hospitals and The Colorado Network member.
Results: In progress.