|For detailed information about a Departmental initiative, please click on any link below.|
The Accountable Care Collaborative (ACC) is a client-centered approach to managed care that is focused on delivering efficient and coordinated care that improves the overall health of clients. This model of care differs from capitated managed care by investing directly in community infrastructure to support care teams and care coordination and creates aligned incentives to measurably improve client health and reduce avoidable health care costs.
The All-Payer Claims Database (APCD) is a data collection system of all health care claims paid by all payers across the state. The APCD will provide a more complete picture of a person's experience with the health care system and include claims paid by private and public payers, including insurance carriers, health plans third-party administrators, pharmacy benefit managers, Medicaid, and Medicare.
The Colorado Choice Transitions initiative is Colorado's Money Follows the Person Demonstration grant proposal to the federal Department of Health and Human Services, Centers for Medicare and Medicaid Services. Colorado Choice Transitions will support the state's effort to reform the long term care system for people of all ages with long term care needs and rebalance funding and policy towards home and community based services.
Healthy Living Initiatives The Department is committed to improving the health of our clients, staff, and community. Our focus on healthy living extends from healthy development during infancy and childhood through the life span to healthy aging. Our prevention efforts are based in an understanding of the social determinants of health, and the importance of building healthy communities.
Planning for Health Care Reform: Colorado Medicaid, is an online resource center about the planning process that includes stakeholders to prepare the Department to meet requirements of the Affordable Care Act. This can include upgrading and coordinating systems to prepare for additional clients who will enroll in 2014 and initiatives to interface with the Colorado Health Benefits Exchange. The Department must submit planning documents to the federal government for approval, this web resource center will help stakeholder become familiar with the process and comment on draft proposals.
In March 2013, the state of Colorado received a State Innovation Model Pre-Testing Assistance Award from the Centers for Medicare and Medicaid Services (CMS). The goal of this six month grant is to help the state improve and enhance our innovation proposal to CMS and work to refine our model of integration of behavioral health and primary health care. Stakeholders are encouraged to help in this planning process. Click here for more information.
The Targeted Rate Increase initiative is a request by the Department for a 0.5% rate increase to be targeted to specific providers, codes and specialties. While it is not clear whether we will receive the 0.5% from the JBC to move forward with this increase, the Department feels strongly that a stakeholder process is important not only to educate this next fiscal year but to identify areas where we can create value and access for our clients in the future.
With grant funding from the Colorado Health Foundation (CHF), the Institute for Patient and Family Centered Care (IPFCC) conducted a three day site visit last spring to interview Department staff and stakeholders about client- and family-centered care and stakeholder engagement. In December 2012, IPFCC delivered a report with recommendations entitled Advancing the Practice of Client- and Family-Centered Care for the Colorado Department of Health Care Policy and Financing. We are using that report to put together a grant proposal to CHF for implementing several of the recommendations. While the grant will be under review with CHF, we plan to move forward with some of the recommendations that can be accomplished with current resources.