Accountable Care Collaborative Payment Reform Initiative (HB12-1281)
House Bill 12-1281 (HB12-1281) directed the Department of Health Care Policy & Financing to accept proposals for innovative payment reform pilots that demonstrate new ways of paying for improved client outcomes while reducing costs within the Accountable Care Collaborative (ACC).
Performance data is available for the first two years of the ACC’s HB12-1281 pilots in the following reports:
Rocky Mountain Health Plans Prime
For the first pilot, the Department selected a proposal submitted by Rocky Mountain Health Plans (RMHP) in July 2013. RMHP Prime was the resulting four-year pilot program and began in September 2014.
RMHP Prime is a comprehensive, full-risk capitation program with an enhanced focus on integrating behavioral and physical health services. The program operates within the ACC and is supported by existing RMHP resources. It is available to Health First Colorado (Colorado’s Medicaid Program) members who reside in Garfield, Gunnison, Mesa, Montrose, Pitkin and Rio Blanco counties.
Access Kaiser Permanente
For the second pilot, the Department selected a proposal submitted by Colorado Access and Kaiser Permanente. Access Kaiser Permanente (Access KP) was the resulting two-year pilot program and began in July 2016.
Access KP is a limited benefit, full-risk capitation program that focuses on primary care services. The program operates within the ACC and is supported by resources from Colorado Access and Kaiser Permanente. It is available to Health First Colorado members who reside in Adams, Arapahoe and Douglas counties and who have Kaiser Permanente as their primary care medical provider.
For more information, please contact Matthew Lanphier at Matthew.Lanphier@state.co.us.