BROWSE CASE STUDIES Case Studies > State Innovation Model Proxy Measure: Breast Cancer Screening

State Innovation Model Proxy Measure: Breast Cancer Screening

March 2017


Consumers, Providers, Researchers, Population Health


Utilization, Cost, Quality, Health, Commercial, Medicaid, Medicare


Tracey Campbell

The CO APCD is one of the sources for data and analytics for the Colorado SIM effort. In collaboration with the SIM Office, CIVHC developed innovative ways to use the CO APCD to assess how integrated behavioral and physical health influences patient health and cost of care. The health care community calls these "quality measures."

Using nationally accepted specifications, methodologies were established using health insurance claims across Medicare, Medicaid and commercial payers in the CO APCD to create claims-based quality measures. These quality measures allow benchmarking between payers and providers across the entire state to identify opportunities to create targeted, meaningful interventions that improve population health, improve care, and lower costs for Colorado.