Colorado

Colorado was an early adopter of the patient-centered medical home (PCMH) model of care delivery. In 2007, Colorado passed Chapter 346 which required the Colorado Department of Public Health and Environment  (CDPHE) to increase the number of children served by medical homes. In 2009, Colorado launched one of the earliest multi-payer medical home pilots which ended in 2012 and resulted in many improvements both in costs and health outcomes.  

In 2011, Colorado Medicaid launched the Accountable Care Collaborative with seven Regional Care Collaborative Organizations (RCCOs) to coordinate care statewide. Of these RCCOs, 18 are managed by community-based organizations that build on unique local strengths to address local needs. 

Colorado continues to expand its health care reform efforts using a foundation of strong primary care and the integration of behavioral health. The CDPHE and the Colorado Department of Health Care Policy and Financing (HCPF) have jointly established the Colorado Medical Home Initiative to serve as a clearinghouse of information for the medical home approach in Colorado. 

 

CHIPRA: 
Yes
MAPCP: 
No
Dual Eligible: 
Yes
2703 Health Home: 
No
CPCi: 
Yes
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
5,294,200
Uninsured Population:
13%
Total Medicaid Spending FY 2013: 
$5.1 Billion 
Overweight/Obese Adults:
56.4%
Poor Mental Health among Adults: 
35.3%
Medicaid Expansion: 
Yes 
CPC+: 
CPC+

Coordinating All Resources Effectively (CARE) - Colorado

Children’s National Health System has been named a recipient of a Center for Medicare & Medicaid Innovation (CMMI) award to improve health care delivery for children with complex medical needs.  The grant, aimed at advancing care coordination models, was awarded to the Children’s Hospital Association (CHA) and 10 pediatric hospital partners.

Transforming safety net practices into patient-centered medical homes

on Wed, 2014-10-15 00:00   caroline

A recently concluded demonstration project made meaningful progress toward introducing a "patient-centered medical home" approach at "safety net" practices serving vulnerable and underserved populations. Lessons learned in the course of developing and implementing the Safety Net Medical Home Initiative (SNMHI) are featured in a special November supplement to Medical Care.

Story Date: 
October 15, 2014
Source Link: 
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Aetna Whole Health - Colorado

The combined Aetna Whole Health – Colorado Front Range network will launch in January 2015 and provide Aetna members access to more than 800 primary care physicians, 4,000 specialists and 31 hospitals throughout the Colorado Front Range. The accountable care collaboration gives employers better health care options for their employees, and will feature a new model of health care delivery designed to offer:

Aetna Introduces Multi-Physician Group Accountable Care Collaboration in Colorado

on Mon, 2014-09-29 15:05   caroline

Aetna (NYSE: AET) today announced an accountable care collaboration with Banner Network Colorado, Colorado Health Neighborhoods, New West Physicians and Physician Health Partners, along with the introduction of the Aetna Whole HealthSM product in Colorado.

Story Date: 
September 29, 2014
Source Link: 
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Humana medical home program - Miramont Family Medicine

This program is offered to practices that are either patient-centered medical home (PCMH) certified or in the certification process. These practices must meet HEDIS and clinical initiative targets and have made progress addressing some of the requirements necessary to transform their practice in order to become successful population health managers. For example PCMH program participants have implemented electronic medical records and likely use electronic prescribing systems. Additionally, they have made other infrastructure changes, including the use of a care coordinator in the practice.

Advancing Care Together (ACT) Demonstration

This four-year program aims to discover practical models to integrate mental health, substance use, and primary care services for people whose health problems and health care needs span physical, emotional, and behavioral domains. The program has funded 11 demonstration projects that have been organized as a set of diverse comparative case studies and will be linked to support cross-project learning.

Colorado Dual Eligible Demonstration

CMS approved a Memorandum of Understanding (MOU) with the state of Colorado in February 2014. The Colorado Department of Health Care Policy and Financing is partnering with the Centers for Medicare & Medicaid Services to implement a

Sustaining Healthcare Across Integrated Primary Care Efforts (SHAPE)

SHAPE is a 3-year project that aims to examine the effect of paying for the integration of behavioral health and primary care through a global payment. Actuarial modeling will study its sustainability and benefit to the practice and community.  In determining the payment to integrated providers, the following factors will be considered:

Cigna Accountable Care Program - Physician Health Partners ACO

Cigna and Physician Health Partners launched a collaborative accountable care initiative to improve patient access to health care, enhance care coordination and achieve the “triple aim” of improved health, affordability and patient experience. The program became effective January 1, 2014 and includes Denver-area doctors affiliated with Primary Physician Partners  and South Metro Primary Care .

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