Patients deserve to pay for quality health care, not quantity.
Traditionally, doctors and hospitals are paid for each procedure, treatment, or test. However, this creates an incentive for them to provide unnecessary services that don’t always benefit patients. Colorado is pursuing payment reform pilots that aim to decrease health care costs and improve health, which is a significant undertaking. Because we know that social factors and system injustices greatly influence a person’s health and access to care, we’re working with grassroots leaders, local champions, and advocacy partners to bring equity into Medicaid’s payment reform efforts.
We’re taking action.
Changing the way Colorado’s Medicaid program pays for health care services is a big and complex undertaking. In order to be effective advocates, we need to start by educating ourselves and our partners on what it is, how it works, and what’s possible. We also need to learn about how Medicaid pays for health care now, as it undergoes a significant transformation into Phase II of its Accountable Care Collaborative model. We’ve started researching and producing a series of publications that will prepare us to lead on this issue:
- REPORT – Payment Reform & Alternative Payment Models
- REPORT – Quality Metrics for Consumer Advocates (in partnership with Colorado Consumer Health Initiatve)
- FACT SHEET – Engaging Consumers in the Development of Quality Metrics (in partnership with Colorado Consumer Health Initiative)
- BLOG POSTS – Payment Reform & Costs
Cost of Care Research
We believe that empowering Coloradans to discuss cost of care with their health care providers will lead to more equitable and affordable health care. In partnership with Colorado Consumer Health Initiative, University of Colorado Health, Kids First Health Care, Cultivando, and Clinica Colorado, we received funding from the Robert Wood Johnson Foundation to work with low-income, primarily Spanish speaking Latinos in Adams County, Colorado to develop culturally and community relevant messages about the cost of care. These messages were tested in community and clinical settings, and lessons from this testing will be shared with multiple audiences, including academics, providers, and policymakers.
For more information, contact our Policy Specialist, Chris Klene.