Healthcare Incentives Payment Pilot (HIPP)

Background:

Beginning in the summer of 2009, the Colorado Health Foundation (TCHF) and the Health Care Incentives Improvement Institute (HCI3) began discussion around funding a new payment reform initiative for the state of Colorado.  Because of the ambitious nature of the original proposal, it was decided that the funding should be broken into two grants:

  1. a data gathering and analysis phase with the objective of designing two or more pilots involving multiple stakeholders;
  2. a three-year implementation grant to put the design deliverables of the study grant into motion.

Participating Organizations & Roles:

  • HCI3 — The Grantee.  HCI3 is a non-profit organization developing open architecture intellectual property to research, publish, and invent new methods and tools such as BTE and Prometheus for improving the payment incentives around health care delivery.
  • TCHF — The Sponsor.  TCHF, a non-profit organization working to make Colorado the healthiest state in the nation, invests in the community through grants and initiatives to health-related non-profits.
  • CBGH — The Facilitator.  Colorado Business Group on Health is a non-profit coalition of large purchasers of health care services whose mission is to advance the purchaser role to accelerate cost effective, high quality health care.

Study Grant Objectives:

  1. Determine the feasibility of payment reform in various Colorado Communities by convening stakeholder groups that will analyze payer data and design unique implementation plans.
  2. Stimulate development of patient-centered and accountable care, leading to higher quality care while controlling the increase in total cost of care.
  3. Obtain buy-in from physicians, hospitals, employers and health plans as a key step to ensure a successful implementation.

Study Grant Design.

  • Data Analysis Phase.  This initial phase will focus on health plan data gathering, an in-depth ECR PAC analysis, and sharing of the PAC results.
  • Pilot Implementation Designs.  Designate "Design Pods" on a community-by-community basis and draft pilot site implementation plans using data results.
  • Secure Implementation Grant.