Hospital Bundled Payment Opportunity Analysis

Colorado APCD website screenshot
September 2014

Contact: Center for Improving Value in Health Care
Email:  ColoradoAPCD@civhc.org

Background: This bundled payment analysis seeks to conduct bundled payment analysis to identify where Colorado hospitals may have opportunities to reduce variation in patient care, outcomes and cost. Currently very little data exists to address concerns about participating in alternative payment models.

Goal: Generate analysis to encourage hospitals to pursue payment alternatives from fee-for-service to innovative, aligned models that promote improved population health outcomes, care delivery and patient experience consistent with the principles of the Triple Aim.

Data Analyzed: Commercial and Medicaid data from 2009-2011 to examine utilization trends across CO hospitals.

Results: This organization was able to display statewide average cumulative costs for medical and surgical episodes over a 90-day period, including the anchor admission.  In addition, this organization was also able to summarize overall patterns of utilization across hospital categories.

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