Are All Coloradans Able to Get Affordable, Efficient Health Care? Jeff Bontrager Emily Johnson 2017 Colorado Access to Care Index Webinar May 10, 2018

Our Presenters Jeff Bontrager Director of Research on Coverage and Access Emily Johnson Associate Director of Economic Analysis

What We’ll Cover Today Findings Background and Methods How to Use the Index

Three Takeaways The Colorado Access to Care Index compares access between communities and over time. Colorado scores pretty well, but rural areas of the state tend to score lower. Colorado struggles the most with using recommended health care services, also known as realized access.

What is the Access to Care Index? A synthesis of the best data available over time to understand whether Coloradans have access to the care they need.

Colorado’s Access Score

Access to Care Score by County

Urban Counties Have Better Access

Changes in Access to Care Scores, 2013-2017

Index Objectives Measure disparities and change over time. Give the big picture of access to care. Give communities the data they need to develop local priorities.

The Ultimate Goal

Access to Care Index Structure

Selecting Metrics Directly related to access to care Trendable over time Available at the sub-state level (ideally by county)

Sources Colorado Health Access Survey Colorado Department of Regulatory Agencies American Community Survey All-Payer Claims Database Pregnancy Risk Assessment Monitoring System

Scoring Aspiring to a Perfect 10

A Note about Past Years Due to changes in data sources, CHI made adjustments to the 2013 and 2015 indices to ensure they are comparable with 2017. Please use the most recent versions at https://colo.health/Access17

The Interactive Dashboard

The Interactive Dashboard

The Interactive Dashboard

The Interactive Dashboard

Love Excel? We Didn’t Forget About You.

Using the Index Identify Health Equity Concerns Income Group 0 – 138% FPL 139 – 400% FPL Over 400% FPL Overall Score 8.1 8.3 8.7 Potential Access 9.4 9.3 9.6 Pathways to Care 8.5 9.2 Realized Access 6.4 6.8 7.2 Income Group 0 – 138% FPL 139 – 400% FPL Over 400% FPL Overall Score 8.1 8.3 8.7 Potential Access 9.4 9.3 9.6 Pathways to Care 8.5 9.2 Realized Access 6.4 6.8 7.2 Income Group 0 – 138% FPL 139 – 400% FPL Over 400% FPL Overall Score 8.1 8.3 8.7 Potential Access 9.4 9.3 9.6 Pathways to Care 8.5 9.2 Realized Access 6.4 6.8 7.2

Using the Index Trending Over Time

How to Use the Index Start with overview, then drill down. Look at trends to see how access to care has changed over time. Use as a launching point for discussions on where to focus efforts and where to dig deeper. Use to place areas of focus in a broader context – what are the ripple effects?

How to Apply the Index to Your Work What We’ve Heard From You The Index can be used to: Inform local planning and decision-making Launch conversations about health equity Present to local leaders Advocate for underserved populations Write grants

Three Takeaways The Colorado Access to Care Index compares access between communities and over time. Colorado scores pretty well, but rural areas of the state tend to score lower. Colorado struggles the most with using recommended health care services, also known as realized access.

Stay Tuned! Children’s Access to Care Index: 2017 Update Medicaid Access to Care Index Commercial Insurance Access to Care Index NEW! NEW!

Jeff Bontrager | Emily Johnson @CHI_Bontrager | @CHI_EmilyJ bontragerj@coloradohealthinstitute.org johnsone@coloradohealthinstitute.org 720.382.7075 720.382.7099