How to Interpret and Use CHI’s New Access to Care Index Jeff Bontrager Chrissy Esposito 2019 Colorado Medicaid and Commercial Insurance Access to Care Index Webinar August 22, 2019

Housekeeping Listen using one audio! Either: Call in and mute your computer microphone/speaker, or Use your computer microphone/speaker and do not call in. Click the chat button to ask questions, get technical help, and make comments: You won’t need your video.

Our Presenters Jeff Bontrager Director of Research and Evaluation Chrissy Esposito Data Visualization and Policy Analyst

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

Three Takeaways The index enables comparisons across payers, geography, and types of access. Medicaid members face greater access barriers than Coloradans with commercial insurance. The index is intended to complement other forthcoming analyses and tools.

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 Scores (Out of 10)

Selected Reasons for Not Obtaining Needed Care

Access to Care Index Structure Potential Access Enrollment Provider Availability Ability to Get Appointment Wait Time Perceptions and Experiences Ability to Afford Care Child Care Time Off Transportation Usual Source of Care Respectful Treatment Realized Access Use of Dental Care Did Not Get Needed Mental Health Care Use of Preventive Care Asthma Breast cancer screening Cervical cancer screening Colorectal cancer screening Prenatal Care Well Child Visits

Ratio of Primary Care Physicians to Medicaid Members and Commercially Insured Coloradans

Access to Care Index Structure Potential Access Enrollment Provider Availability Ability to Get Appointment Wait Time Perceptions and Experiences Ability to Afford Care Child Care Time Off Transportation Usual Source of Care Respectful Treatment Realized Access Use of Dental Care Did Not Get Needed Mental Health Care Use of Preventive Care Asthma Breast cancer screening Cervical cancer screening Colorectal cancer screening Prenatal Care Well Child Visits

Foregone Care Due to Cost in the Last 12 Months

Access to Care Index Structure Potential Access Enrollment Provider Availability Ability to Get Appointment Wait Time Perceptions and Experiences Ability to Afford Care Child Care Time Off Transportation Usual Source of Care Respectful Treatment Realized Access Use of Dental Care Did Not Get Needed Mental Health Care Use of Preventive Care Asthma Breast cancer screening Cervical cancer screening Colorectal cancer screening Prenatal Care Well Child Visits

Selected Cancer Screening Rates

Pause for Questions: Use the Chat

Index Objectives Provide the big picture of access to care. Facilitate a deeper dive into the data. Make data accessible to communities as they develop local priorities.

The Ultimate Goal

Selecting Metrics Directly related to access to care Equal number of metrics in each domain Available at the sub-state level (ideally by county) Trendable over time (when possible)

Sources Colorado Health Systems Directory Pregnancy Risk Assessment Monitoring System

Scoring Aspiring to a Perfect 10

A Few Notes and Limitations Do not compare with the 2017 statewide Access to Care Index due to different metrics and methods. Can not control for benefit/network design and poverty. Contact CHI if you would like to see additional indicators over time.

https://www. coloradohealthinstitute https://www.coloradohealthinstitute.org/research/2019-medicaid-and-commercial-access-care-index

How to Use the Index Start with the overall scores, then drill down. Use as a launching point for discussions on where to focus efforts and where to dig deeper. Use as a complement to other reports, analyses, and initiatives. Use to place areas of focus in a broader context – what are the ripple effects?

How to Use the Index Compare across similar counties Payer comparisons Compare across domains

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

Questions?

Three Takeaways The index enables comparisons across payers, geography, and types of access. Medicaid members face greater access barriers than Coloradans with commercial insurance. The index is intended to complement other forthcoming analyses and tools.

Stay Tuned: The 2019 CHAS is coming!

Jeff Bontrager | Chrissy Esposito bontragerj@coloradohealthinstitute.org espositoc@coloradohealthinstitute.org 720.382.7075 720.382.7098