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First of its Kind Hospital Value Report Shows Little Correlation Between Cost and Quality

Two organizations on the forefront of consumer transparency in Colorado (the Colorado Consumer Health Initiative (CCHI) and Colorado Business Group on Health (CBGH)) have chosen Quantros as their quality comparative for the state’s first ever “Colorado Hospital Value Report.” This resource offers detail on both pricing and performance for each of Colorado’s general acute care hospitals.

The report is designed to empower employers and consumers with previously unavailable insights into the value offered by hospitals, the report offers hospital-by-hospital pricing as a percentage of prices paid by Medicare for both inpatient and outpatient services alongside performance and quality data.

 “The Colorado Hospital Value Report allows not only for an apples-to-apples comparison of in-patient and out-patient pricing across hospitals in a simple, easy to understand manner, which is crucial in and of itself,” noted CCHI Executive Director Adela Flores-Brennan, “but by also then providing outcomes information, it also allow us to compare overall hospital value for the first time.”

In 2017, CBGH selected the Quantros Hospital Ratings System based on its sophisticated risk adjustment methodology and began providing reports to its employer members. The software offers benchmark data on clinical quality, patient safety, and performance of virtually all acute care hospitals and health systems throughout the US at the individual clinical service line level (e.g., for cardiac, orthopedic, cancer and other care).  

 “We must evaluate hospitals at the service line level, which is particularly important for consumers,” CBGH Executive Director, Robert Smith said, “The so-called ‘five star’ hospital is the unicorn of health care.  We can describe it, but it does not exist.  Across Colorado and the rest of the country, performance varies significantly within and across hospitals. It’s hard, if not flat-out impossible, to be excellent at 24-36 different and complex clinical services and procedures – particularly without high volumes.”

Conclusions of the report and implications for various stakeholders align with recommendations from the Governor of Colorado’s Roadmap to Affordability as well as reports from the Colorado Commission on Affordable Health Care.

“It’s our intent to not only have employers collaborate with each other, but with both public and private groups seeking to make health care more affordable and consistently effective for all Coloradans. Improving quality and cost is a team-sport,” Smith said.

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