1. Cost Assessment of Collaborative Healthcare
Session #F4b
Saturday, October 18, 2014
Cost Assessment of Collaborative Healthcare
Shandra Brown Levey, PhD, Clinical Psychologist
Emma Gilchrist, MPH, Project Manager
Warren Pettine, Medical Student
University of Colorado Denver Department of Family Medicine
Please insert the assigned session number (letter and number), i.e., A2a
Please insert the assigned DAY and DATE of your presentation, i.e., Friday, October 17, 2014 or Saturday, October 18, 2014
Please insert the TITLE of your presentation.
List each PRESENTER who will attend the CFHA Conference to make this presentation. You may acknowledge other authors in subsequent slides.
Collaborative Family Healthcare Association 16th Annual Conference
October 16-18, Washington, DC U.S.A.
Collaborative Family Healthcare Association 12th Annual Conference

2. Faculty Disclosure
We have not had any relevant financial relationships during the past 12 months.
CFHA requires that your presentation be FREE FROM COMMERCIAL BIAS. Educational materials that are a part of a continuing education activity such as slides, abstracts and handouts CANNOT contain any advertising or product‐group message.
The content or format of a continuing education activity or its related materials must promote improvements or quality in health care and not a specific propriety business interest of a commercial interest.
Presentations must give a balanced view of therapeutic options. Use of generic names will contribute to this impartiality. If the educational material or content includes trade names, where available trade names for products of multiple commercial entities should be used, not just trade names from a single commercial entity. Faculty must be responsible for the scientific integrity of their presentations. Any information regarding commercial products/services must be based on scientific (evidence‐based) methods generally accepted by the medical community.
Collaborative Family Healthcare Association 12th Annual Conference

3. Learning Objectives At the conclusion of this session, the participant will be able to:
Describe a novel approach to calculating the cost of integration.
Discuss the benefits of a multidisciplinary team in developing integrated care initiatives.
Identify the policy implications of assessing cost for integrated care.
Include the behavioral learning objectives for this session
Collaborative Family Healthcare Association 12th Annual Conference

4. Bibliography / Reference
Chapkoa MK, Liu CF, Perkins M, Li YF, Fortney JC, Maciejewski ML. Equivalence of two healthcare costing methods: bottom-up and top-down. Health Econ. 2009; 18: 1188–1201
James BC, Savitz LA. How Intermountain trimmed health care costs through robust quality improvement efforts. Health Affairs. 2011;30(6):
Kaplan RS, Porter ME. How to solve the cost crisis in health care. Harvard Business Review. 2011
Katon W, Russo J, Lin EH, et al. Cost-effectiveness of a multicondition collaborative care intervention: a randomized controlled trial. Archives of general psychiatry. 2012;69(5):
Manderscheid RW, Alexandre P, Everett A, Leaf P, Zablotsky B, Eaton W. American mental health services: perspective through care patterns for 100 adults, with aggregate facility, service, and cost estimates. Public mental health. 2012:381.
Porter ME. What is value in health care? New England Journal of Medicine. 2010;363(26):
Ritzwoller DP, Sukhanova A, Gaglio B, Glasgow RE. Costing behavioral interventions: a practical guide to enhance translation. Ann Behav Med. Apr 2009;37(2):
NEW!
Continuing education approval now requires that presenters include five references within the last 5 years.
Please list at least FIVE (5) references for this presentation that are no older than 5 years.
Without these references, your session may NOT be approved for CE credit.
Collaborative Family Healthcare Association 12th Annual Conference

5. Learning Assessment A learning assessment is required for CE credit.
A question and answer period will be conducted at the end of this presentation.
Please incorporate audience interaction through a brief Question & Answer period during or at the conclusion of your presentation.
This component MUST be done in lieu of a written pre- or post-test based on your learning objectives to satisfy accreditation requirements.
Collaborative Family Healthcare Association 12th Annual Conference

6. CoACH Origins Prescription for Health/ACT/SHAPE
Work with practices to determine the cost of integrating to determine a global payment
CoACH automates this process and provide a tool for interested practices to determine financial factors and workflow associated with integration activities
Collaborative Family Healthcare Association 12th Annual Conference

7. Developed by multidisciplinary team
Psychology
Public Health
Economics
Actuarial Science
Biostatistics
Integrated Primary Care Practices
Input from primary care providers, behavioral health providers, practice managers, medical assistants, front desk staff, CFOs, administrators

8. CoACH: Cost Assessment of Collaborative Healthcare
On-line tool to determine the estimated incremental expenditure of integrating behavioral health and primary care.
Practices are asked to work with others in their organization for improved accuracy of estimates.
Practices receive:
an estimated incremental expenditure to complete the work proposed
the building blocks for an accurate and adjustable workflow
average reimbursed amounts across payer types based on the Colorado APCD data by month and year

9. Some information CoACH requires
Payer mix percentages by practice
Estimations for FTE of involved personnel
Average monthly mid-point salaries and benefits
Number of patients in the practice
Types of collaborative or integrated care activities the practice currently does or plans to do
Estimated time per week providers and staff participate in integrated care activities

11. Tips for Completing CoACH
CoACH can be paused and returned to using a link sent to the address practices provide.
Working with a team to complete CoACH can help improve accuracy input regarding integration activities, personnel responsible for activities, and activity time approximations.

19. Policy Implications
All participants in the health care system need objective, evidence-based information to make critical decisions about how to allocate health care resources.
Employers
Insurers
Patients
Providers
State Policymakers
Federal Policymakers
Collaborative Family Healthcare Association 12th Annual Conference

20. Session Evaluation
Please complete and return the evaluation form to the classroom monitor before leaving this session.
Thank you!
This should be the last slide of your presentation
Collaborative Family Healthcare Association 12th Annual Conference