COST, UTILIZATION, ACCESS, AND QUALITY TRENDS, 2013-2019
COLORADO ALL PAYER CLAIMS DATABASE (CO APCD)
Commercial Payers, Medicaid, Medicare Fee-For Service, Medicare Advantage
LEGEND
worse
UTILIZATION & ACCESS
ACCESS TO CARE
HEALTH CARE USE Healthy Users per 1,000
Children & Adolescents
Adults
+4%
+/- 0%
-29% higher is better
ED VISITS Per 1,000 Members
+6%
better Neutral
Non - Users per 1,000
+1% lower is better
WELL-CHILD VISITS
Potentially Preventable Per 1,000 Members
First 15 Months, 6 or More Visits
-7%
+34%
16-30 Months, 2 or More Visits
+7%
HOSPITAL UTILIZATION Potentially Preventable Hospital Vists
30-Day All-Cause Hospital Readmissions
-25%
QUALITY
-31% Cervical Cancer Screenings
Diabetes HbA1c Testing
+21%
+9%
Mental Health ED Visits
(Follow-Up Within 30 Days)
+41%
COST PER PERSON PER YEAR (PPPY) Inpatient
Professional
COST
Cost Health Plans & Patient
+
Cost for Patient Only
+1% Outpatient
+32% Pharmacy
+32%
+13% +42%
+87%
For more measures, views by payer, and more, view the Interactive Community Dashboard on our website at www.civhc.org, or contact us at info@civhc.org