One of the primary objectives of the Accountable Care Collaborative is to ensure greater accountability and transparency. The Department provides data and information in three key areas – performance, operations, and finances - for the purpose of collaborating with stakeholders to monitor the success and integrity of the program as well as to identify opportunities for quality improvement. The Department is in the process of building an interactive quality dashboard to show trends for all major performance measures. This dashboard will replace the performance data below when it is available for sharing with stakeholders.
Performance Measures
One way that the Department monitors RAE performance is by utilizing incentive payments to promote performance in key areas that improve population health and access to care. The following three measure sets are intended to drive improved health outcomes for members, build a coordinated community-based approach to care, and reduce costs. The comprehensive set of measure specifications is also available.
Key Performance Indicators (KPIs)
KPIs are measures designed to assess the overall health of the ACC program. They reward the RAEs for improvements to the regional delivery system and in key areas of population health.
SFY22-23 Measures:
- Behavioral Health Engagement
- Oral Evaluation, Dental Services
- Well Visits
- Prenatal Engagement
- Emergency Department Visits
- Risk Adjusted PMPM
Key Performance Indicator Measure Specifications
Latest Results (KPI data is updated quarterly with approximately a 6-month lag)
Performance Pool
Unearned KPI funds become the Performance Pool, a second opportunity for RAEs to earn incentive dollars for performance in population health and system coordination.
SFY 22-23 Measures:
- Extended Care Coordination
- Premature Birth Rate
- Behavioral Health Engagement for Members Releasing from State Prisons
- Asthma Medication Ratio
- Antidepressant Medication Management
- Contraceptive Care for Postpartum Women
Performance Pool Measure Specifications
Latest Results (Performance Pool Measures are update annually)
Behavioral Health Incentive Program
Behavioral Health Incentive Program measures are intended to incentivize RAEs’ management of the behavioral health capitation particularly for access to mental health and SUD services and appropriate follow up care to promote prevention.
SFY 22-23 Measures:
- Engagement in Outpatient Substance Use Disorder (SUD) Treatment
- Follow Up within 7 Days after an Inpatient Hospital Discharge
- Follow Up within 7 Days after an Emergency Department Visit
- Follow Up within 30 Days after a Positive Depression Screen
- Behavioral Health Screening or Assessment for Foster Care Members
Behavioral Health Incentive Program Measure Specifications
Latest Results (Behavioral Health Incentive Program is updated annually)
The CAHPS survey (Consumer Assessment of Healthcare Providers and Systems) is a validated tool that evaluates member experience within Medicaid. Members are asked about topics related to health care access, care coordination, and how they are treated by health care providers.
Operational Data
The Department monitors monthly changes in enrollment. Enrollment figures are available by RAE and by county.
COVID-19 Vaccination Data
The Department is tracking COVID-19 vaccination rates for Health First Colorado members, including disparities by race and ethnicity.
- COVID-19 Vaccination Data as of January 10, 2023
- COVID-19 Vaccination Data as of October 11, 2022
- COVID-19 Vaccination Data as of April 14, 2022
- COVID-19 Vaccination Data as of January 20, 2022
- COVID-19 Vaccination Data as of September 30, 2021
- COVID-19 Vaccination Data as of August 20, 2021
- COVID-19 Vaccination Data as of July 4, 2021
- COVID-19 Vaccination Data as of May 30, 2021
- COVID-19 Vaccination Data as of May 8, 2021
- COVID-19 Vaccination Data as of April 18, 2021
- COVID-19 Vaccination Data as of January 29, 2021
Other Performance Measures
The Department plans to publish additional performance results on public health, health equity, and finances in the near future.
Questions
For more information or questions, please contact Nicole Nyberg, the Quality Performance Manager