Report on Metrics for Evaluation of the Colorado Health Benefit Exchange

Data Advisory Work Group (DAWG)

COHBE Board of Directors MeetingMarch 12, 2012

Background on the DAWG• One of the workgroups formed during planning

process• Participation by wide array of experts/

stakeholders• Two primary charges– Select vendor to model expected purchasing

behaviors of COHBE’s target population– Identify potential data collection needs and metrics

for evaluation of COHBE

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Process for selecting metrics

• All meetings public• Developed criteria and guiding principles• Based on areas identified in SB11-200:

The intent of the Colorado Health Benefit Exchange is to increase access, affordability and choice for individuals and small employers purchasing health insurance in Colorado.

3Source: SB11-200 [emphasis added]

Guiding principles

• Focus on SB11-200• Preliminary list• Indicators will be revisited as: – new issues emerge, – policy decisions are made,– and new data sources become available.

• Metrics applicable to the SHOP Exchange considered whenever possible

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Access Domain

• Enrollment• Enrollment demographics• Uninsurance• Churn• Timeliness of determinations

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Affordability Domain

• Underinsurance• Affordability• Adverse selection• Health care system cost drivers

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Choice Domain

• Competition• Consumer choice• Carrier behavior• Essential health benefits

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Example of a metric

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Questions may be directed to:

Jeff BontragerDirector of Research on Coverage and AccessColorado Health Institutebontragerj@coloradohealthinstitute.org

Report available at:http://www.getcoveredco.org/Get-Involved/Workgroups/Data-Advisory-Work-Group

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