This latest release from the Center for Improving Value in Health Care (CIHVC) focuses on an analysis of claims in the CO APCD from 2015-2017 identifying the top 13 low value care services according to national guidelines, and identifies associated spending and volume across Medicare, Medicaid and Commercial health insurance claims for different regions across the state.
The report summarizes results for 48 measures of low value care evaluated from 2015 through 2017 for 4.1M insured Coloradans (over 70% of insured lives) covered by commercial health insurance, Medicaid, Medicare Advantage,and Medicare Fee-for-Service (FFS). The report identifies overall frequency and spending related to low value care in the state of Colorado, highlights the specific measures that account for the majority of spend, and provides breakouts by insurance payer and geographic region. It also offers recommendations on how Colorado stakeholders might address low value care using lessons learned from other states and discusses next steps for future analyses for targeted interventions.
- Low Value Care in Colorado. CIVHC. March 2020 (PDF)