Health Plans Developing Data-Sharing Tool

Seven health plans in Colorado are collaborating to develop a multi-payer data sharing online tool to enhance and improve care delivery for state residents. The idea emerged from the Comprehensive Primary Care (CPC) initiative launched in 2012, a national collaboration among public and private health plans to strengthen primary care.

The seven health plans participating are Anthem Blue Cross and Blue Shield www.anthem.com , Cigna www.cigna.com , Colorado Access Http://coaccess.com , Colorado Choice Health Plans www.cochoice.com , Colorado Medicaid/Colorado Department of Health Care Policy and Financing www.state.co.us, Rocky Mountain Health Plans http://rmhp.org, and United Healthcare www.uhc.com.

Care providers currently receive multiple reports from each health plan and have to log on to several different websites to access patient data, making it cumbersome and inefficient for care providers to coordinate care.

Over the past two years, the payers looked at the evidence, listened to physician leaders agree on common measures of success, and collaborated on a process that resulted in an aggregated data solution that is both practice-focused and patient-centered while meeting the unique needs of the Colorado market.

A majority of the payers participating in the Colorado CPC have agreed to finance an innovative tool that will allow care providers to access their patients’ claims data from one website. Rise Health www.risehealth.com selected as the vendor is partnering with Colorado’s Center for Improving Value in Health Care www.civhc.org along with other state and local entities to build the tool and to help ensure a comprehensive approach to data aggregation.

“This initiative represents a major step forward for both providers and payers in the state. For the first time, physicians will be able to access actionable, patient-specific data across multiple insurers and self-funding employers in a single analytic tool”, said Patrick Gordon, Associate Vice President at Rocky Mountain Health Plans.