Potential Impact of COVID-19 Temporary Cessation of Elective Procedures Colorado All Payer Claims Database
Medicare FFS/Advantage, Medicaid, Commercial Payers, Jan. - July 2018
Elective Cost Procedures Cost and Utilization Total Payments
Percent of All Claims
(member liability + plan paid)
$203M
73%
per month
Percent of All Payments to Providers
63%
Percent Elective Procedures by Care Setting Inpatient Facility
COST
Outpatient Professional
COST
Amb. Surgery/ Diagnostic Procedure Ctrs.
24%
UTILIZATION
28% 78%
UTILIZATION
72% 91%
COST UTILIZATION
94% Elective Procedures Potential Lost Revenue for Facilities and Providers (two month time period, all payers)
$406M+
The procedures in this analysis include inpatient and outpatient surgical operations & diagnostic procedures such as gastrointestinal endoscopies.Total procedures payment represents the average of allowed amounts (plan paid + member liability) paid for elective procedures from January to June, 2018. Totals represented do not include Critical Access Hospitals or payments made by ERISA-based self-insured employers. To access the full downloadble data set and methodology, visit us at www.civhc.org.