1. 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

2. 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.

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

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

5. 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.

6. 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.

7. Colorado’s Access Scores (Out of 10)

8. Selected Reasons for Not Obtaining Needed Care

9. 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

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

11. 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

12. Foregone Care Due to Cost in the Last 12 Months

13. 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

14. Selected Cancer Screening Rates

15. Pause for Questions: Use the Chat

16. 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.

17. The Ultimate Goal

18. 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)

19. Sources Colorado Health Systems Directory
Pregnancy Risk Assessment Monitoring System

20. Scoring
Aspiring to a Perfect 10

21. 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.

22. https://www. coloradohealthinstitute

25. 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?

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

27. 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

28. Questions?

29. 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.

30. Stay Tuned: The 2019 CHAS is coming!

31. Jeff Bontrager | Chrissy Esposito