Department of Health Care Policy and Financing, a department that is now forced to make budget cuts ahead of the new year. Part of their recommendation is to bring those rates back down.The department shared the following statement about the reduction request."HCPF, the Governor'...
Medicaid Expansion Drives Down Uninsured Rates in ColoradoMary K. Caffrey
2027, the bill requires a health-care insurance carrier (carrier) to include a primary care provider as a participating provider in all networks, including narrow networks and all tiers of tiered networks, of the carrier's health benefit plan if the primary care provider is: ...
The state and insurers will be able to see how similar the plans' patient and provider populations are and then work on ways to narrow the gap, if needed. For example, a plan might find that 30% of its enrollees are Black but that only 20% of its providers are. Colorado had considere...
HB15-1151 Floor For Medicaid Provider Rates Comment: GAPP Lead: Position: Monitor Calendar Notification: NOT ON CALENDAR Sponsors: RANKIN / LAMBERT Summary: Joint Budget Committee. Current law authorizes the medical services board by rule to establish payment rates for services under medicaid....
On August 15, 2024, the Centers for Medicare & Medicaid Services (CMS) announced the new “negotiated” prices for the first ten Medicare Part D drugs subject to price controls under the Inflation R…Learn More A partnership building bright futures. By: Fitzsimons Innovation Community In almost...
Interest in how to better serve different patients seems to growing, especially since the pandemic highlighted existing health disparities, said Robert King, vice president of diversity, equity and inclusion at Colorado Access, which manages care for a portion of Colorado's Medicaid members and purcha...
"We are seeing really high denial rates triggered by AI. And on the patient and provider side, they don't have the tools to fight back." Most people may not be aware that they have the right to appeal a denial, Karau noted. The majority of people who are hit with a denial o...
It has also been found that for many people who have commercial insurance or Medicaid, these fees double the amount of their hospital bills. Sign up for the 99.9 KEKB - Grand Junction\'s Favorite Country Newsletter While the report certainly has found a direct correlation with the increase in...
Colorado’s proposed public option will be administered by private issuers, not the state, and similarly to Washington state’s version would lower premiums by up to 18% by capping provider payments to a percentage of Medicare. The state’s plan to mandate participation among every carrier in ...